Printable family worksheet · 03
Appointment question sheet
Prepare factual questions together before a follow-up appointment. Keep important details connected to the letter, record or person that supplied them.
Appointment details
Date, time and place
Contact or service
Transport owner
Documents to take
Questions to ask
Write the question in plain language. Leave room to record the answer as supplied.
Recent factual change
What changed and when
Who reported it and source
Medicine wording to check
Copy only the supplied wording that is relevant to a prepared question. Do not use this sheet to decide what someone should take.
Copied from the supplied label, list or discharge document.
Notes from the appointment
Record the wording you heard, who supplied it and any source document provided.
Next family actions
Action, owner and due time
Action, owner and due time