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Questions for My Prescriber

Appointments are short and easy to freeze in. Filling this out beforehand means you show up prepared, get your questions answered, and don't remember the important one on the drive home.

Educational, not medical advice: This worksheet helps you prepare and reflect — it doesn't give medical advice or replace your prescriber. Any decision about medication is between you and a qualified professional who knows your history.


What I'm hoping meds help with

Name your top three targets — the specific things you'd want to change.

My top 3 hopes for what medication might help

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My history & context

What should your prescriber know? Other conditions, current meds, past experiences, concerns.

History and context to mention

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My questions

Common ones are below — tick what you want to ask, and add your own.

  • [ ] Stimulant vs. non-stimulant — what fits me?
  • [ ] What side effects should I watch for?
  • [ ] How does timing / duration work day to day?
  • [ ] How do we adjust the dose (titration), and how long does it take?
  • [ ] What do we do if the first thing doesn't work?

My own questions to add

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How we'll know it's working

What would actually change if it were helping?

What 'it's working' would look like for me

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Your prescriber decides: Bring this sheet as a tool — the medical decision is theirs to make with you. Showing up prepared is the part that's yours.

Cassie Clayton

Cassie Clayton

Client Care Coordinator

Welcome!

I'm Cassie Clayton, Client Care Coordinator.

If you have questions about getting started, I'm here to help!

​Schedule a time to chat with me below or free to reach out via call, text, or email:

​​Email : clientcare@newpathfamily.com

Text or Call: (408) 475-2746‬

I hope to hear from you soon, 

 

Cassie

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