Page 37 - MCMcKinney Digest Guide Mobile
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My Next Appointment
Date ____________Time__________
Dr Name ______________________
Specialty ______________________
Address _______________________
Dr Ph # _______________________
Reason for appointment _______________________________
Questions for my appointment Check any of the boxes below and write notes to remember what to to discuss with your doctor I have questions about:
r My medicines ______________________________ r r My test results ______________________________ r My pain ______________________________ r r Feeling stressed ______________________________ r r r r Other
questions or concerns ______________________________ My Next Appointment
Date ____________Time__________
Dr Name ______________________
Specialty ______________________
Address _______________________
Dr Ph # _______________________
Reason for appointment _______________________________
Questions for my appointment Check any of the boxes below and write notes to remember what to to discuss with your doctor I have questions about:
r My medicines ______________________________ r r My test results ______________________________ r My pain ______________________________ r r Feeling stressed ______________________________ r r r r Other
questions or concerns ______________________________ QUESTIONS FOR MY DOCTOR:
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APPOINTMENT KEEPER
