Use this list to help prepare for medical appointments and discussions
Patient Name: _____________________ Date: _____________________
□ What is the specific diagnosis or condition?
□ What caused this condition?
□ How will this condition progress over time?
□ What are the warning signs I should watch for?
□ What are all the treatment options available?
□ What are the benefits and risks of each treatment?
□ How long will the treatment last?
□ What is the goal of this treatment?
□ Are there any alternative or complementary treatments?
□ What is each medication for?
□ What are the possible side effects?
□ How will we know if the medication is working?
□ Are there any medications that should be avoided?
□ What special care is needed at home?
□ What activities should be encouraged or avoided?
□ What equipment or supplies will be needed?
□ Are there any dietary restrictions or requirements?
□ Which specialists should be involved in the care?
□ How will different healthcare providers communicate?
□ What is the emergency care plan?
□ Who should I contact for different types of questions?