
When you visit the doctor, it's good to ask questions! Here is a form that you can use to write down questions.
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My List of Things to Ask the Doctor
Questions my team and I want to ask the doctor:
- _________________________________________________
- _________________________________________________
- _________________________________________________
- _________________________________________________
- _________________________________________________
Questions about my health I should always ask:
1. Do I need any of these tests?
High Cholesterol - Men and Women |
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Type 2 Diabetes - Men and Women |
Colon Cancer - Men and Women |
Breast Cancer - Women Only |
Cervical Cancer - Women Only |
Osteoporosis - Men and Women |
Prostate Cancer - Men Only |
Other: ___________________________ |
2. Do I need any of these shots?
Flu |
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Pneumonia |
Whooping Cough |
Tetanus |
Shingles |
Other: ___________________________ |
3. What can I do to stay healthy?
Get more exercise |
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Eat healthy foods |
Quit Smoking |
Other: ___________________________ |
Other: ___________________________ |
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