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<div class="HwContainer HwElement" id="HwContainer"><a class="HwMainSkipNavigation" href="#HwContentTitle"><span class="HwAccessibilityText">Skip Navigation</span></a><div class="HwBlock" id="HwMain" role="main"><div class="HwRow"><div class="HwColumn" id="HwColumnSidebar1"><div class="HwCustom" id="HwCustomSidebar"> </div></div><div class="HwColumn" id="HwColumnContent"><div id="HwContentTop"> </div><div class="HwTypeFocus HwContentWrapper HwElement" role="article" id="HwContentWrapper"><div class="HwCustom" id="HwCustomContentTop"> </div><div class="HwContentHeader"><p><a name="top" id="Hwtop"><span class="HwAccessibilityText">Top of the page</span></a> </p></div><div class="HwContentTitle"><h1 id="HwContentTitle" tabindex="-1">Follow-Up Appointment</h1></div><div class="HwContentTopNavigation"> </div><div class="HwContent"><div class="HwNavigationSection HwSectionSpecialSection" id="sec-zm2253-sec"><h2 class="HwSectionTitle" fingerprint="421b88ad" fingerprint-exact="1b206d13">Topic Overview</h2><p fingerprint="cd1be62b" fingerprint-exact="377bdf18">Answer the following questions before and during your appointment to follow up on a health problem. </p> <table class="hw-preformatted hw-table-border" fingerprint="7bdc37bf" fingerprint-exact="24d226cb"> <caption>Concerns</caption> <tbody> <tr> <td> <p> <b>What health problem is the reason for this return appointment?</b> </p> <br> </td> </tr> <tr> <td> <p> <b>What questions or concerns do I want addressed during this appointment?</b> </p> <br> </td> </tr> <tr> <td> <p> <b>Do I have any new symptoms?</b> Yes ___ No ___ If yes, include how long I have had them and what helps relieve them. If I have pain, describe where it is, how it feels, and how severe it is. </p> <br> </td> </tr> </tbody> </table> <table class="hw-preformatted hw-table-border" fingerprint="51dcada5" fingerprint-exact="f6298d67"> <caption>Treatment issues</caption> <tbody> <tr> <td> <p> <b>Have I had any difficulty carrying out my treatment for this condition?</b> Yes ___ No ___ If yes, describe briefly: </p> <br> </td> </tr> <tr> <td> <p> <b>Have I had any recent stresses that may affect my ability to care for the condition I have?</b> Yes ___ No ___ If yes, describe briefly: </p> </td> </tr> <tr> <td> <p> <b>Do I need any special written information or instructions to help me care for the disease or condition I have, such as instructions about monitoring my blood sugar if I have diabetes?</b> Yes ___ No ___ </p> <br> </td> </tr> <tr> <td> <p> <b>Are there any new treatments or tests for this condition?</b> </p> <br> <p> <b>What are the benefits and risks of the new treatments or tests?</b> </p> <br> <p> <b>What could happen if I choose not to have the new treatment or test?</b> </p> <br> </td> </tr> </tbody> </table> <table class="hw-table-border" fingerprint="5d74be7d" fingerprint-exact="e64bed6f"> <caption>Follow-up</caption> <tbody> <tr> <td> <p> <b>What signs and symptoms should I watch for?</b> </p> <p> <b>When should I call to report signs and symptoms?</b> </p> </td> </tr> </tbody> </table> <table class="hw-table-border" summary="<b>When should I contact my health professional?</b> Fill in the appropriate box below with the date and time, if needed. " fingerprint="a2ab705d" fingerprint-exact="28f5d2c9"> <caption> <b>When should I contact my health professional?</b> Fill in the appropriate box below with the date and time, if needed. </caption> <tbody> <tr> <td> <p>Check here if no contact is needed. </p> <p>____ </p> </td> <td> <p>Call to find out test results or to report how I am doing: </p> <p>Date: _______ Time: _______ </p> </td> <td> <p>Return for an appointment: </p> <p>Date: _______ Time: _______ </p> </td> </tr> </tbody> </table> <p fingerprint="98d6c471" fingerprint-exact="8d739994"> <b>Reminder </b> </p> <p fingerprint="83c3b9a3" fingerprint-exact="963a5cdb">Bring all the records you have been keeping since your last visit, such as a blood sugar record if you have diabetes. </p></div><div class="HwNavigationSection HwCreditsSection HwCreditsWithoutNavstack HwSectionCredits" id="sec-zm2253-Credits"><h2 class="HwSectionTitle">Credits</h2><div class="HwContentInformation"> <div class="HwLastUpdated"> <p> <span class="HwInfoLabel">Current as of: </span> May 27, 2020 </p> </div> <div class="HwCredits"> <p> <span class="HwInfoLabel">Author: </span>Healthwise Staff<br> <span class="HwInfoLabel">Medical Review: </span> <br> <span class="HwInfoName">Catherine D. Serio PhD - Behavioral Health</span> <br> <span class="HwInfoName">Adam Husney MD - Family Medicine</span></p> </div> </div></div></div><div class="HwCustom" id="HwCustomContentBottom"> </div><div class="HwContentNavigation"><div class="HwSectionNavItem" style="display:block" id="secNav-zm2253-sec"><ul><li class="HwContentNavigationNone"> </li><li class="HwContentNavigationTop"><a href="#top">Top of the page</a></li><li class="HwContentNavigationNext"><p>Next Section: </p><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="zm2253" data-hw-section="zm2253-Credits" id="nextLink-zm2253-Credits" hw:document-type="Focus" hw:document-href="zm2253" data-hwid="zm2253" hw:section-href="zm2253-Credits" href="?id=zm2253#zm2253-Credits">Credits</a></li><li class="HwClear"> </li></ul></div><div class="HwSectionNavItem" style="display:none" id="secNav-zm2253-Credits"><ul><li class="HwContentNavigationPrev"><p>Previous Section: </p><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="zm2253" data-hw-section="zm2253-sec" id="prevLink-zm2253-sec" hw:document-type="Focus" hw:document-href="zm2253" data-hwid="zm2253" hw:section-href="zm2253-sec" href="?id=zm2253#zm2253-sec">Topic Overview</a></li><li class="HwContentNavigationTop"><a href="#top">Top of the page</a></li><li class="HwContentNavigationNone"> </li><li class="HwClear"> </li></ul></div></div><div class="HwContentInformation" role="complementary"><div class="HwLastUpdated"><p><span class="HwInfoLabel">Current as of: </span>May 27, 2020</p></div><div class="HwCredits"><p><span class="HwInfoLabel">Author: </span><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en">Healthwise Staff</a></p><p><a class="HwLinkDisclaimer" href="https://www.healthwise.org/mdreviewboard.aspx?lang=en-us"><span class="HwInfoLabel">Medical Review:</span></a><span class="HwInfoName">Catherine D. Serio PhD - Behavioral Health</span> & <span class="HwInfoName">Adam Husney MD - Family Medicine</span></p></div></div></div></div><div class="HwColumn" id="HwColumnSidebar2"><div class="HwCustom" id="HwCustomNavigationTop"> </div><div class="HwElement" id="HwNavigationWrapper"><div class="HwNavigation" id="HwNavigation" role="navigation"><h3 class="HwNavStackHeader" id="HwNavStackHeader">Topic Contents</h3><ul aria-labelledby="HwNavStackHeader"><li id="nav-zm2253-sec"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="zm2253" data-hw-section="zm2253-sec" hw:document-type="Focus" hw:document-href="zm2253" data-hwid="zm2253" hw:section-href="zm2253-sec" href="?id=zm2253#zm2253-sec">Topic Overview</a></li><li id="nav-zm2253-Credits"><a class="HwLinkNavstack" data-hw-type="Focus" data-hw-document-href="zm2253" data-hw-section="zm2253-Credits" hw:document-type="Focus" hw:document-href="zm2253" data-hwid="zm2253" hw:section-href="zm2253-Credits" href="?id=zm2253#zm2253-Credits">Credits</a></li></ul></div></div><div class="HwNavigationWrapper HwNavigationEmpty"> </div><div class="HwCustom" id="HwCustomNavigationBottom"> </div></div></div></div><div class="HwBlock" id="HwFooter"><div class="HwRow"><div class="HwCustom HwColumn" id="HwCustomFooterLeft"> </div><div class="HwColumn" id="HwFooterLegal"><div class="HwLegal HwElement" role="contentinfo"><div class="HwLogo"><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><img class="HwNoHcMode" data-hw-resource-path="media/interface/hwlogo.png" alt="Click here to learn about Healthwise" src="https://ixbapi.healthwise.net/Resource/12.8/en-us/media/interface/hwlogo.png" hw:resource-path="media/interface/hwlogo.png" hw:release-quarter="12.8"><img class="HwHcMode" data-hw-resource-path="media/interface/hwlogo_hc.png" alt="Click here to learn about Healthwise" src="https://ixbapi.healthwise.net/Resource/12.8/en-us/media/interface/hwlogo_hc.png" hw:resource-path="media/interface/hwlogo_hc.png" hw:release-quarter="12.8"></a></div><div class="HwDisclaimer"><p>This information does not replace the advice of a doctor. 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