Consultation tools

Dr Ali Beddouche · Témara

My care follow-up record

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

Date : ____________________

Date, care or test and healthcare facility

Written instructions from the care team

Device or catheter: reference if provided by the team

Next review or replacement: confirmed date

Signs to watch for and contact number of the care team

Questions and difficulties encountered

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

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