Prepared by Jean Miller-A sample letter for your primary care physician identifying all
of the prescribed medication and OTC products you are taking requesting that they manage those to advise you of any
problems or interactions.
Prepared by Jean Miller - A sample letter to provide your physician with a
list of up to 5 other symptoms or things you would like them to respond to within a given period of time.
These are items that are not critical, i.e. immediate answer is not required. The top
3 items (above) are those you want answer for immediately. This is good to send into your doctor in advance of an appointment.
Keep the list handy on frig, etc. to write down questions as you think about them. Request that a copy of any questions submitted
to your doctor, with their response, be placed in your personal medical records in the doctor's office.
Top 3 Things To Discuss On Next Appointment
Prepared by Jean Miller-A list of the top 3 things or symptoms of critical importance to you that you want to discuss with your doctor on
your next appointment or have them respond, in writing, as soon as possible.
It is a good idea to keep a notebook handy where you can write down
unusual or changed symptoms that you would like to discuss with your doctor. Ask your family members, too, if they have
noticed anything which they feel might need to be brought to the doctor's attention.
Please note: This very sensitive information would only
be required if a new physician requested a complete history of your life style.This
is not something you would complete and provide to anyone else other then a physician upon