Before we meet

What to bring to your appointment

Six things that make the first conversation useful, on one printable page with room to write. Bring whichever apply to you — none are required to talk.

Before your appointment

A little preparation.
Room for your questions.

Keep the checklist nearby as you gather the items that apply to your appointment.

View the checklist ↓

One page. Space to write.
Prepared for US Letter and A4, in black on white.

Use 100% scale and turn off browser headers and footers in the print dialog. Only the checklist prints; you can mark the boxes on screen or by hand. Nothing is submitted or stored.

Appointment checklist

What to bring

Bring the items that apply to your appointment.

DoctorPractice / location
 
 
 
PrescriptionDosage
 
 
 
 

For claiming questions.

For auto, home or business insurance.

Questions I want to ask

NY licenses: LA-1934647 · PC-1934647 · BR-1934647

Use the back of this sheet if you need more room.

Ready when you are

Bring what you have. If something is missing, we'll work around it.