Record of Doctor Visit

This form is about being prepared. The time you spend with a doctor is usually very limited. Calmly presenting him/her with the correct questions and details of problems will make him/her more willing to work with you. This form has a place to enter the supporting data you will need to remember to take to your doctor visit such as the medication list, vitals you have taken, etc. There is a place to write out questions/problems you want to address with the doctor, a place to record doctor’s new orders and other information while you are there. There is also a place to enter the next appointment at the bottom. Very simple.

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This picture is just to give you a general idea of what the forms will look like.  Turning the form into a picture has greatly reduced the quality, so there are distortions that do not appear in the actual form.