Nov 29, 2022
Prepare for your appointment by filling in the information below. Then during your visit, write down recommendations your PCP has about the topics and treatment options.
Ask your doctor if there are any labs you need, such as an A1c test or other blood tests.
List any specialists or other providers you see. This will help your PCP coordinate your overall care.
Write down the prescriptions, over-the-counter medications, supplements and vitamins you’re taking or having difficulty taking. Ask:
Discuss your mental health with your PCP. Let your PCP know if youʼre feeling sad or blue or having difficulty sleeping. Or, talk about challenges you’re having with planning or with memory loss that disrupt daily life.
Discuss tests ordered during your appointment. Ask:
Discuss your physical health with your PCP, including if youʼre having pain that interferes with your regular activities, work or social life.
Risk of falls
Bladder control
Physical activity
PREVENTIVE CARE CHECKLIST
GUIDE TO HEALTHY AGING