Contact Number:
Occupation:
Position:
E-mail:
Address:
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Doctor you wish to appoint:
 
*Message
(please specify date, time & any special condition/request you may have)
Friendly Reminder:
Making the Most of Doctor Appointments:
  • Keep a notebook.
  • Prepare a list of questions in advance.
  • Take notes during the visit.
  • If necessary, slow down the pace.
  • Never withhold information.
  • Share information about all current medications,including
    over-the-counter drugs, and any problems with them.
  • Discuss costs and insurance issues frankly.
  • Don't leave until you understand all the doctor's instructions,
    especially those about medications.
  • Don't hesitate to call the office if something comes to mind later.