NeuroBali · Visit preparation
PDF checklist
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Neurology consultation prep checklist
A list of symptoms, timing, medication, test results, and questions to prepare before visiting the clinic.
Use your browser print dialog, choose 'Save as PDF' to save a copy.
Tick each item you have prepared. Patients can print this list to bring to the visit, or read it as a preparation guide.
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Primary symptoms
- Main complaint in one sentence (e.g. right-sided headache).
- When symptoms started, sudden or gradual.
- Frequency: daily, weekly, or only when triggered.
- Factors that worsen and that relieve the symptoms.
- Whether symptoms interfere with work, sleep, or daily activities.
History & timeline
- Similar episodes in the past, when, and how severe.
- Chronic conditions: hypertension, diabetes, heart, thyroid, autoimmune.
- Past surgery, head injury, or hospital admissions.
- Family history of similar neurological concerns.
Medication & supplement list
- Drug name, dose, schedule, and how long it has been used.
- Medications used as needed (pain relief, sleep aids, herbal products).
- Drug allergies and the reactions that occurred.
- Photos of medication packaging if names are hard to recall.
Test results & referrals
- Referral letter from a previous doctor, if any.
- Recent MRI, CT, EEG, EMG, or blood test results.
- Discharge summary or notes from the last consultation.
- Blood-pressure, blood-sugar, or sleep logs if relevant.
Questions for the doctor
- What are the likely causes of my symptoms?
- Which tests should be considered and why?
- Initial treatment options and expected re-evaluation timing.
- Signs that warrant earlier follow-up contact.
Visit logistics
- ID, insurance card, and emergency contact.
- A companion if the patient needs help with communication or mobility.
- Written notes with the main symptoms and questions.
- If relevant, short videos of tremor, seizure, or gait change.