Dr Ali Beddouche · Témara

Prepare for my consultation

Print these sheets and complete them on paper. No health information is stored on this website.

My questions for the doctor

Select the questions that matter to you. Print your selection and add handwritten notes.

Bring your medicine and allergy lists, available results and reports.

UnderstandWhat is the aim of this test or treatment?What results can I realistically expect in my situation?

Decide togetherWhat other options could we consider, including monitoring if appropriate?Which risks or side effects matter most in my situation?How might this affect my activities, urination, sexual health or fertility?

Plan the next stepsWhich personal instructions should I follow before the test or procedure?How will I receive my results and have their meaning explained?What appointment or check should be planned next?Whom should I contact if my condition changes or an instruction is unclear?

Your choices stay on this page during this visit; they are not sent to the practice.

NHS · NIH

Date : ____________________

My reason for visiting and questions

My symptoms: onset, changes and daily impact

My medical history, operations and allergies

My medicines, supplements and herbal products

Tests and documents I will bring

Explanations and agreed next steps

This sheet supports the discussion and does not replace personal instructions. Ask your care team to complete treatment decisions.

Explore further