Fill the blanks. Then print this sheet.

DadLane

Be the dad who shows up

Form 07

Health

Clinic visit prep

The night before a prenatal visit or a pediatric visit. Questions on paper. The clinician answers.

Who

Name, and which visit

Date

Write it

Clinic

Write it

Question 1

The one you cannot leave without

Question 2

The symptom, in their words

Question 3

The medicine or the dose you need confirmed

Bring

Card, list, the note from last time

They said

Write it before you reach the car

Not medical advice. The clinician decides. This page only holds your questions.

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