Checklists and Forms
The following forms can help you take charge of your health. They offer sample questions to ask your doctor, diagnosis checklists, sample medical information request forms, and more.
Click on the links below to save or print these forms.
Cancer Diagnosis ChecklistHealthy Lifestyle ChecklistChoosing a Healthcare ProviderPreparation for Surgery Checklist Choosing a HospitalPreparing for Your AppointmentHealth Payment Checklist Requesting Medical RecordsHealthcare Advocates ChecklistHeart Attack Risk ChecklistHealthy Hospitalization Checklist Web Research ChecklistInsurance Records for Hospital Stays ChecklistResults of the Appointment Questions for Integrative Therapies Providers Track Your Medical Tests and ProceduresMedication Questions Medication List