Appointment checklist
What to bring
Bring the items that apply to your appointment.
| Doctor | Practice / location |
|---|---|
| Prescription | Dosage |
|---|---|
For claiming questions.
For auto, home or business insurance.
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.
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
Bring the items that apply to your appointment.
| Doctor | Practice / location |
|---|---|
| Prescription | Dosage |
|---|---|
For claiming questions.
For auto, home or business insurance.
Bring what you have. If something is missing, we'll work around it.