Patient Note Sheet

Write it down—Join your team!

What did the doctor tell me? What medicine do I need to take?
How do I take my medicine?
   
   
   
   
   
   
What tests do I need?
What are my test results?
What do I need to do next?
   
   
   
   
   
   
Page last reviewed November 2016
Page originally created November 2016
Internet Citation: Patient Note Sheet. Content last reviewed November 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/prep-note-sheet.html