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Follow-Up Appointment

Overview

Answer the following questions before and during your appointment to follow up on a health problem.

Concerns
What health problem is the reason for this return appointment?
What questions or concerns do I want addressed during this appointment?
Do I have any new symptoms? Yes ___ No ___ If yes, include how long I have had them and what helps relieve them. If I have pain, describe where it is, how it feels, and how severe it is.

Treatment issues
Have I had any difficulty carrying out my treatment for this condition? Yes ___ No ___ If yes, describe briefly:
Have I had any recent stresses that may affect my ability to care for the condition I have? Yes ___ No ___ If yes, describe briefly:
Do I need any special written information or instructions to help me care for the disease or condition I have, such as instructions about monitoring my blood sugar if I have diabetes? Yes ___ No ___
Are there any new treatments or tests for this condition? What are the benefits and risks of the new treatments or tests? What could happen if I choose not to have the new treatment or test?

Follow-up
What signs and symptoms should I watch for? When should I call to report signs and symptoms?

**When should I contact my health professional?** Fill in the appropriate box below with the date and time, if needed.
Check here if no contact is needed. ____	Call to find out test results or to report how I am doing: Date: _______ Time: _______	Return for an appointment: Date: _______ Time: _______

Reminder

Bring all the records you have been keeping since your last visit, such as a blood sugar record if you have diabetes.

Related Information

Credits

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Related Information

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.