Free Doctor Visit Checklist

A worksheet to focus the visit and leave with a plan.

If you are dealing with symptoms after cancer treatment and you are not getting traction in medical visits, this checklist is for you.

• Fillable. Fill it out on your computer or tablet, or print it and fill it out by hand.
• Ten pages. Use what the visit needs. The last four pages are optional.
• The first six pages are the visit essentials: a 60 second summary to open the visit, a symptom tracker, your priorities, the questions to ask, and a place to write the plan.