Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.
Follow-Up Appointment
Overview
Answer the following questions before and during your appointment to follow up on a health problem.
Concerns What health problem is the reason for this return appointment?
|
What questions or concerns do I want addressed during this appointment?
|
Do I have any new symptoms? Yes ___ No ___ If yes, include how long I have had them and what helps relieve them. If I have pain, describe where it is, how it feels, and how severe it is.
|
Treatment issues Have I had any difficulty carrying out my treatment for this condition? Yes ___ No ___ If yes, describe briefly:
|
Have I had any recent stresses that may affect my ability to care for the condition I have? Yes ___ No ___ If yes, describe briefly: |
Do I need any special written information or instructions to help me care for the disease or condition I have, such as instructions about monitoring my blood sugar if I have diabetes? Yes ___ No ___
|
Are there any new treatments or tests for this condition?
What are the benefits and risks of the new treatments or tests?
What could happen if I choose not to have the new treatment or test?
|
Follow-up What signs and symptoms should I watch for? When should I call to report signs and symptoms? |
When should I contact my health professional? Fill in the appropriate box below with the date and time, if needed.Check here if no contact is needed. ____ | Call to find out test results or to report how I am doing: Date: _______ Time: _______ | Return for an appointment: Date: _______ Time: _______ |
Reminder
Bring all the records you have been keeping since your last visit, such as a blood sugar record if you have diabetes.
Credits
Current as of: October 24, 2024
Current as of: October 24, 2024
