Doctor-Visit Prep Sheet
Fill this in before an appointment to keep track of what's changed, what to ask, and what you want to remember to mention - then bring it with you and use the last section for notes during the visit.
You can also print using your browser's own Print option (Ctrl+P or Cmd+P) at any time.
Visit information
- Child's name
- Date of this visit
- Doctor or clinic
- Reason for this visit
Questions to ask
Write these down as they come to mind in the days before your visit, so you don't forget them once you're there.
What's changed since the last visit
| What changed | Since when | How often | Notes |
|---|---|---|---|
Current medications to bring or mention
| Medication | Dose | How it's taken | Notes |
|---|---|---|---|
Things to remember to mention
Notes from this visit
Space for what the doctor says - you can write while you talk.