Appointment checklist

Your appointment on one page: symptoms, medications, questions

Fill in the five boxes, print the page or save it as PDF, and hand it to your doctor. Two minutes before the visit save ten minutes during it.

2 min · Free, no account · Runs on your device

3D illustration of a clipboard with a checklist, a pen and a stethoscope

In short: a good appointment starts with one page: why you are there, how it has changed, what you take, what you react to, and the three questions you most want answered. This tool builds that page from what you type and prints it. Nothing you write leaves your browser.

Five boxes

Main concern, course over time, medications, allergies, questions. The order doctors think in.

One printed page

Clean layout, large type, a line for the doctor's notes. Print it or save it as PDF.

Next time, automatic

In Anpheros Daily the same sheet is built from your record in one tap, with your lab results attached.

How to use it

  1. Main concern, in one sentence. "Headaches three times a week for a month, worse in the morning."
  2. How it has changed. Since when, how often, better or worse, what you have tried. If you kept a symptom diary, copy the trend here.
  3. Medications and supplements, with doses, including over-the-counter ones.
  4. Allergies and past reactions to medicines.
  5. Your three questions, most important first.

Press Print or save as PDF. The browser's print dialog lets you save the page as a PDF on any phone or computer.

What the sheet does not do

It does not suggest diagnoses or treatments, and it does not score or interpret anything. It puts your own words in the order a doctor can use. Our guide on how to prepare for a doctor's appointment explains why each box matters.

Frequently asked questions

Is the appointment checklist free?

Yes, with no account. It runs entirely in your browser.

Is what I type stored anywhere?

No. The text stays on your device until you print or copy it. If you want to keep it for the next visit, save the PDF or use Anpheros Daily, where appointments, documents and reports stay together.

Can I use it for a child or a parent?

Yes. Fill in the sheet for the person you accompany; the "about" line at the top lets you write their name and date of birth.

Can I add my lab results?

Not on this sheet; bring the reports or share them with the doctor. In Anpheros Daily the report for the visit includes results, measurements and medications from your record.

Does it work on a phone?

Yes. On iPhone and Android, "Print" offers "Save as PDF", which you can then show or send.

This guide is for information and does not replace medical advice. For decisions about your health, talk to your doctor. In an emergency, call 112.

Keep it in one place, for the next time

Anpheros Daily is free. Your checklists, medications, results and documents sit together, under your control, and reach any clinic only with your consent.

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