# Medical Appointment Brief Template

For the method in [Prepare for a Medical Appointment in 20 Minutes](/articles/prepare-medical-appointment).
Fill in each section using your own verified facts - use AI only to organize, never to interpret.

## Not for

Deciding whether something is urgent, diagnosing a symptom, or changing a medication. If you are
unsure whether to wait for this appointment, contact a pharmacist, your clinician's office, or
your local emergency number instead of filling this in.

## Visit basics

- Date of appointment:
- What I want out of this visit, in one sentence:

## Timeline (organized, not interpreted)

| Date | What happened | Context (better/worse when...) | Already tried |
| --- | --- | --- | --- |
| | | | |
| | | | |
| | | | |

## My priorities, in order

1.
2.
3.

## Medication list (copied from labels or pharmacy records - not memory)

| Medication (as printed) | Dose (as printed) | How I actually take it | Source |
| --- | --- | --- | --- |
| | | | |
| | | | |

## Questions to ask

1.
2.
3.

## Notes during the appointment (leave this blank until you're there)

-
-
-

## The three prompts to reuse

**1. Organize the timeline**

```text
Here are my rough notes about a health concern I want to discuss with
my doctor: [paste notes]. Organize this into a short, dated timeline
in plain language. Do not suggest a diagnosis, likely cause, or
urgency level - I only want my own information organized clearly, not
interpreted.
```

**2. Rank priorities**

```text
I have [N] things to cover in a [length]-minute appointment: [list
them]. Help me put them in the order I should raise them, assuming I
might only get through the first one or two - based on which ones I
said matter most to me, not on medical seriousness.
```

**3. Format the medication list**

```text
Here is my medication list exactly as printed on my labels/pharmacy
records: [paste, exactly as written]. Format this into a clean table:
medication name, dose as printed, and how I actually take it. Do not
change, add, or infer anything I did not give you.
```

## Before you print

- [ ] No sentence in the timeline guesses at a cause or urgency level
- [ ] Every medication entry came from a label or pharmacy record, not memory
- [ ] Priorities are ordered by what matters to me, not by a model's judgment
- [ ] Questions are phrased as questions, answerable in a sentence or two