My Questions for This Visit

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Use this card to list the questions you want to ask during your medical visits. Select for a brochure that gives you tips to use before, during, and after your medical appointments.

Select to download print version PDF File (35 KB), Plugin Software Help. This list is also available in Spanish (PDF File, 38 KB; PDF Help).

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You might have questions about:

• Your medicines.
• A medical test you need.
• A surgery you need.

What are the top three questions you want to be sure to ask during your appointment? List them here:

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AHRQ Publication No. 10(11)-0094-1
Current as of August 2011

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Internet Citation:

My Questions for This Visit. AHRQ Publication No. 10(11)-0094-1, August 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/consumer/questionscard.htm

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