One page for the doctor.

Prepare over the week before, hand a copy over at the start, keep one for the follow-up.

Consultations are short and memory is unreliable on a bad day. A single well-ordered page carries more than twenty minutes of talking.

Download the PDF (A4)US Letter versionFree · one page · black and white, prints on anything · no email needed
Appointment one-pager worksheet, page one

What it helps you do

  • Lead with the three things that matter most
  • Show how symptoms limit daily life, not just that they exist
  • Give the clinician your medication list without being asked
  • Leave with the plan written down

How to use it

  1. 1

    Fill in the top half during the week before the appointment.

  2. 2

    Order your three priorities; the first one is the one that must be covered.

  3. 3

    Hand a copy over at the start, or read from it.

  4. 4

    Write the agreed plan in the last box before you leave.

What is on the sheet

  • Since we last met
  • My three priorities, in order
  • Symptoms right now with 0–3 and since when
  • Current medication and how much it helps
  • Questions I need answered
  • Agreed today and next steps
A woman speaking to Juno on her phone

Prefer not to use paper?

Tell Juno what happened in a sentence and it goes onto your timeline, ready to review before an appointment.

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Free to download. Juno is a health assistant, not a medical provider, and never replaces advice from your own clinician.

Questions

Should I really hand this to my doctor?

Yes, most clinicians welcome a short, ordered summary. It saves time and means the important points are covered even if you tire or lose your thread.

What if I have more than three concerns?

List them elsewhere and bring the sheet for the next visit. Three ordered priorities are more likely to be addressed properly than eight competing ones.

Can I use it for a new specialist?

Yes. Pair it with the symptom tracker or flare log so the specialist sees the pattern, not just the summary.

Is this medical advice?

No. It is a preparation tool. Decisions about tests and treatment belong in the conversation with your clinician.

Related reading

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