At a glance

  • Choose one main concern and state what you need from the visit.
  • Bring a current medicine list and a short, dated symptom timeline.
  • Before leaving, confirm the plan, responsibilities, and follow-up.

01

Why this helps

Preparation reduces the chance that the main concern is lost among details. It also gives the clinician a clearer timeline and gives you a way to state goals, constraints, and worries that may change which options fit. A written list is especially useful when symptoms, stress, pain, fatigue, or language differences make recall harder.

Sources for this section: [1] [2]

02

Prepare the essential information

Start with one sentence: what changed, when it began, and what you need help deciding. Add two or three priority questions. For a new symptom, note its pattern, triggers, severity, related symptoms, and what improves or worsens it. For follow-up, record what changed after treatment, including benefits, adverse effects, missed doses, and barriers such as cost or schedule.

Put the most important concern in one sentence and add when it began, what changed, what makes it better or worse, and how it affects daily function. Rank questions instead of bringing an unprioritized list. Include relevant records from other services, but do not assume the clinician has already received or reviewed them.

  • Ask what the most likely explanations are and what would make them more or less likely.
  • For a test or treatment, ask about likely benefit, important harms, alternatives, and what happens if you wait.
  • Say what outcome matters to you and what trade-offs would be difficult.

Sources for this section: [1] [2]

03

Use a simple process

Start by naming the decision or problem this tool should support. Collect only information likely to change that decision, organize it so another person can scan it quickly, and mark what is uncertain rather than guessing. Use the record during the conversation, write down the agreed next step, who is responsible, and when to review it. Update the record when a medicine, symptom, diagnosis, measurement method, or priority changes.

Sources for this section: [1] [2]

04

What to record or bring

Bring a current medication list, allergies, the names of other clinicians involved, and a concise symptom or measurement record when relevant. Bring reports only if the team may not have them. Photos can help with intermittent visible changes, but protect other people’s privacy and do not let documentation delay urgent care.

Sources for this section: [1] [2]

05

Make the guide work for you

Ask for an interpreter, accessibility support, a longer visit, or permission to bring a trusted person when that would improve communication. If time is short, focus on the highest-risk issue and the next decision rather than trying to solve every concern. Ask for plain language, repeat the plan back in your own words, and request written instructions when useful.

Sources for this section: [1] [2]

06

Safety and next steps

End with a teach-back check: describe the plan in your own words and ask what should happen next, when results will arrive, whom to contact, and which warning signs require urgent care. A trusted person or interpreter may help, but you should remain central to the conversation. A checklist improves communication; it cannot determine a diagnosis or make an unsafe delay appropriate.

Sources for this section: [1] [2]

07

Quick checklist

Use this short list before the next appointment, review, or handoff. Skip any item that does not apply and add what matters to the current decision.

  • Main concern and goal for the visit
  • Short symptom timeline with dates and functional impact
  • Current medicines, supplements, allergies, and recent changes
  • Priority questions and relevant measurements or records
  • Agreed next step, responsible person, and follow-up date

Sources for this section: [1] [2]

Sources

  1. Be the expert on you: Patient notesAgency for Healthcare Research and Quality · 2021
  2. Your Medicine: Be Smart. Be Safe.Agency for Healthcare Research and Quality · 2020
  3. About Shared Decision MakingAgency for Healthcare Research and Quality · 2023