A practical, printable tool

First appointment
worksheet.

A little room to collect what matters before you walk into the room. Print it, write on it, or simply use the prompts to prepare.

Education-only resource. This worksheet helps prepare for a care conversation. It does not replace assessment, advice, diagnosis, or treatment from a qualified healthcare professional.

Before you begin

Keep it practical, not perfect.

Bring a support person if helpful. You can leave any section blank. The most useful notes are often the ones that describe a real moment in your day.

PR

Prosthetic Resource

First appointment worksheet

NameDate

Use only the parts that help. This is a record of your own goals, observations, and questions. It is not a clinical assessment.

01

What brings me to this appointment?

Write the change, question, or decision that feels most present today.

02

What do I want more support for?

Think about movement, work, home, sleep, hobbies, caregiving, comfort, or confidence. A few specific moments are enough.

03

What have I noticed?

Note changes in comfort, skin, balance, sensation, fit, function, paperwork, or anything else you want help understanding.

04

Questions I want to remember

Tick a prompt below if it helps, then add your own.

Before I leave

What is the next step, and who should I contact if something changes?

Prosthetic Resource · prostheticresource.comPlain language. Better questions. More context.

Keep the conversation moving

Bring the notes back to the part of the library you need.

Open the care-team question list