One page for the doctor

Fill a few lines a day in the week before. Everything saves on this phone until you clear it.

The appointment

My three priorities today

In order. Say what it stops you doing; that is what changes the plan.

Priority 1
Priority 2
Priority 3

Since we last met

New, worse, better, gone. Dates where you can.

Symptoms right now

Worst it gets and a typical day, 0–3. A number is only useful with the “when”.

Symptom 1
Worst
Typical
Symptom 2
Worst
Typical
Symptom 3
Worst
Typical
Symptom 4
Worst
Typical

What I take now

Medicines, supplements, therapies.

Treatment 1
Helps
Treatment 2
Helps
Treatment 3
Helps
Treatment 4
Helps
Treatment 5
Helps

Questions I need answered

Three is plenty.

What I would like from today

Agreed today · next steps

Fill in during or straight after.

After the appointment

Nothing here leaves your phone unless you copy, share or print it. Prefer paper? Download the PDF. Prefer talking? Tell Juno instead.