Preparation tool · Blank printable worksheet
Appointment and records preparation
A blank worksheet for organizing records, questions, responsibilities, and next steps before and during an appointment.
Use this sheet to organize a conversation. Write on the printed copy and keep it with your own records.
Care-team contacts
Record the people or services involved and how responsibilities are divided.
Primary care contact
Neuromuscular contact
Other care-team contacts
Who coordinates follow-up?
Records to gather
Items to ask the clinic about bringing
- Current medicine and supplement list
- Recent reports or test results
- Equipment or device information
- Other records requested by the clinic
Where the records are stored or how they will be shared
Changes and questions
Medicine or supplement changes to discuss
Changes or observations to describe
Questions I want answered
Ownership and next steps
Next step
Who owns it?
When or how will it be followed up?
Limits of this tool
- The page does not collect, submit, save, or interpret anything you write on a printed copy.
- The prompts are organizational and do not define which records, specialists, or follow-up are appropriate for an individual.
Public-use and source-boundary review recorded Sep 5, 2026. This is not named clinical approval.