Your consultation
field notes.
Print this page or save it as a PDF. Keep medical details in your clinician’s own intake process, not on this website.
01 / My brief
What I’m curious about
What I want to preserve
My spending and scheduling boundaries
What I am not considering
02 / The conversation
□ Who will assess me and who will perform the procedure?
□ What are their credentials and relevant experience?
□ What options are appropriate, including no treatment?
□ What benefits, limits, and risks apply to me?
□ What recovery and follow-up should I plan for?
□ Who do I contact if I have a concern afterward?
03 / Compare the details
| What to record | Practice A | Practice B |
|---|---|---|
| Practice / clinician name | ||
| License lookup date | ||
| Consultation cost | ||
| Proposed procedure / product | ||
| Initial quoted cost | ||
| Follow-up and repeat costs | ||
| Deposit / cancellation terms | ||
| Questions still unanswered |
04 / My next step
□ Ask a follow-up question □ Get another opinion □ Take more time □ Proceed after consultation □ Do nothing
Notes
Educational planning tool, not medical advice. Clinical decisions require an individual assessment by a qualified licensed professional.
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