Bring an up-to-date medication list and your parent's top two or three concerns, then ask: What's the main issue today? What are the next steps, and why? Are any medications changing, and what should we watch for? When is the follow-up, and who do we call if things get worse? Write the answers down before you leave.

Appointments are short, and the most important question is often the one nobody remembers to ask until the car ride home. A little preparation changes that.

Before the appointment

  1. Agree on your role with your parent. Are you there to take notes, to speak up, or just to listen? Settle it before you're in the exam room.
  2. Pick the top two or three concerns. Write them down in order of importance. If time runs short, the biggest one still gets covered.
  3. Bring the full medication list, including over-the-counter drugs, vitamins, and supplements, with doses.
  4. Note what's changed since the last visit: falls, weight, sleep, appetite, mood, memory, or new symptoms.
  5. Bring insurance cards and the names of any other doctors your parent sees.

Questions about a diagnosis or symptom

Questions about tests

Questions about medications

Questions before you leave

Use the free Medicare wellness visit

If your parent has Medicare Part B, they can get a yearly Annual Wellness Visit at no cost when the provider accepts assignment. It includes a medication review, a cognitive assessment to screen for signs of dementia, and a discussion of advance directives. It isn't a full physical, and extra tests done the same day can cost money, so ask what's covered before agreeing to them. If the cognitive screening raises concerns, our guide to first steps after a dementia diagnosis covers what to put in place early.

Can the doctor talk to you?

Under HIPAA, a doctor may share information with a family member involved in your parent's care if your parent agrees or doesn't object, for example when you're in the room together. If your parent is unable to give permission, a provider may share information when it seems to be in their best interest. Providers aren't required to share with family unless you're your parent's legal representative. The simplest approach: have your parent tell the doctor's office that you're involved, and ask whether the practice has its own authorization form for them to sign.

After the appointment

Write down what was said within the hour, while it's fresh: changes, next steps, and the date of the follow-up. Then share it with siblings so nobody gets a garbled version three days later. MyParentHQ's Appointments module keeps upcoming visits visible to the siblings and caregivers you invite, and Care Notes hold what the doctor said, so the next person who takes your parent to an appointment knows what happened at the last one.

Keep appointments, medications, and doctor's notes where the whole family can see them.

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This guide is general information, not medical advice.

Sources

  1. Medicare.gov: Yearly wellness visits
  2. HHS: HIPAA and sharing information with family members and friends