Doctor appointment notes template
MyCareBuddyAppointment
Patient
Date and time
Clinician or team
Location
Reason for appointment
Person taking notes
My three most important questions
What the clinician explained
Agreed actions
| Action | Who will do it | By when | How we will know |
|---|---|---|---|
Medicines or instructions to confirm
Follow-up
Next appointment
Who to contact with questions
Documents or results expected
Appointment notes are a memory aid and may be incomplete. Confirm medication changes, urgent advice and formal instructions with the relevant clinician or written care information.