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DOCTOR APPOINTMENT CHECKLIST
Chapter 12 of The Complete Eldercare Planner
Elder:
Date of Appointment:
Doctor:
Doctor address, phone, email:
Doctor Hospital Affiliation:
Quality Care Checklist
✓ Ask what unfamiliar words mean
✓ Keep asking questions until what is being said is understood
✓ Repeat what the doctor tells in your own words to uncover any misunderstandings
✓ Ask for copies of medical records, charts and test results
✓ Ask if there is a choice in hospitals if surgery is recommended
✓ Ask about the cost if that is of concern
Ask these questions about the illness
✓ Does this illness have a name?
✓ What caused this illness?
✓ Do you personally have experience treating this illness or will you be recommending a specialist?
✓ What are the treatment options and related risks?
✓ Is this illness or pain likely to go away, get worse or recur?
✓ What is your track record/success rate in treating similar cases?
✓ What long-term lifestyle changes are expected?
Ask these questions if a test has been recommended
✓ What specifically do you hope to accomplish with this test?
✓ What are the risks involved with taking this test?
✓ What is the procedure?
✓ What are the chances of inaccurate test results?
✓ What happens if the test is not taken?
✓ What preparations are necessary ahead of time?
✓ Will personal assistance be necessary after the test?
✓ How long will it take to learn the test results?
✓ How will I be notified of the test results?
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