VISITBRIEF / APPOINTMENT PREP

Make room for what
you want to ask.

Gather what you’ve noticed, choose what matters most, and bring a one-page starting point to your appointment.

YOUR NOTES

Build your brief

A starting point, in your words

Appointment

Appointment dateAppointment type

Start with what matters mostMy main concern or goal (optional)

0 / 300

Other concerns (up to 3)

For each, note when you first noticed it and how it affects your day. Leave a row blank if it does not apply.

What have you noticed?

When did you notice it? (optional)What impact have you noticed? (optional)

What have you noticed?

When did you notice it? (optional)What impact have you noticed? (optional)

What have you noticed?

When did you notice it? (optional)What impact have you noticed? (optional)

Changes and observations (optional)What has changed, or what else have you noticed?

0 / 500

Questions for the visit (up to 5)

Write questions you want to remember. No need to have the wording perfect.

Question 1Question 2 (optional)Question 3 (optional)Question 4 (optional)Question 5 (optional)

Clinician context (optional)Name, department, or other reminder