Appointment Questions and Notes Sheet
The questions you actually meant to ask, written down before you go.
Health and medical records · HM-203 · Log
Free printable appointment log — date, who with, where, what was discussed, what was agreed and the next date. PDF, Excel and fill-in-online versions.
2 pages. The A4 and US Letter files are laid out identically, so neither is shrunk to fit.
Print it and write on it
Fillable PDF type and save
Spreadsheet formulas included
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
The same sheet, on screen. Totals and figures are worked out as you type, rows can be added or removed, and you can print it or download the completed version as a PDF. Everything stays in your browser — your entries are kept in this browser's own storage on this device, nothing is uploaded, and there is no account.
A line for every appointment you attend. Each row takes the date and time, who you saw and where, what was discussed, what was agreed and the next date in the diary, so the answer to what happened last time is on the page rather than in your memory.
Anyone under more than one clinic, people whose care is shared between a practice and a hospital, relatives who go along and take notes, and anybody who has arrived at an appointment unsure what was said at the last one.
The printable is laid out inside a box that fits both A4 and US Letter, so the two files are identical and neither one is scaled. The fillable PDF has real form fields. The workbook uses plain formulas only — SUM, IF, COUNTIF and the like — so it opens in Excel, LibreOffice and Google Sheets without anything breaking, and every calculated cell is grey so you can see which figures it worked out.
Download the A4 or US Letter file to match the paper in your printer, open it in a PDF reader and print at 100% — not "fit to page", which shrinks the writing space. Both files leave a 14 mm margin, which clears the unprintable edge on home printers. To print the online version with your entries in it, use the Print this sheet button, which prints only the sheet and none of the page around it. More on printing.
A diary tells you where to be. This tells you what came out of it — what was agreed, what was ruled out, what you were asked to do before the next visit — which is the part that gets lost between appointments.
No. The next date column is for the date you were given or the date you booked. The days figure simply counts from today to that date and nothing else.
Log it the same way and put the kind of appointment in the where column. Telephone consultations are the easiest of all to forget the details of.
It is cleaner to keep one per person, because the log ends up being read by clinicians. If you are the carer for several people, print a sheet each and keep them together.
The questions you actually meant to ask, written down before you go.
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