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Follow-Up Appointment
Follow-Up Appointment
Overview
Answer the following questions before and during your appointment to follow up on a health problem.
Concerns
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What health problem is the reason for this return appointment?
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What questions or concerns do I want addressed during this appointment?
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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.
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Treatment issues
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Have I had any difficulty carrying out my treatment for this condition? Yes ___ No ___ If yes, describe briefly:
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Have I had any recent stresses that may affect my ability to care for the condition I have? Yes ___ No ___ If yes, describe briefly:
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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 ___
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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?
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Follow-up
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What signs and symptoms should I watch for?
When should I call to report signs and symptoms?
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When should I contact my health professional? Fill in the appropriate box below with the date and time, if needed.
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Check here if no contact is needed.
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Call to find out test results or to report how I am doing:
Date: _______ Time: _______
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Return for an appointment:
Date: _______ Time: _______
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Reminder
Bring all the records you have been keeping since your last visit, such as a blood sugar record if you have diabetes.
Current as of: October 24, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
To learn more about Ignite Healthwise, LLC, visit webmdignite.com.
© 2024-2025 Ignite Healthwise, LLC.
Enlaces relacionados
Regular Checkup for a Child
Regular Checkup for a Lifelong Condition
Your Family Medical History
Appointment for a New Problem
First Appointment
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