Free printable checklist

Dementia Doctor Visit Prep Checklist (Free Printable)

A free printable checklist that helps families prepare for a dementia-related medical appointment: what to track beforehand, what to bring, what to ask, and what to confirm before you leave.

26 action items
20 minutes before the visit
Families with an upcoming neurology, geriatrics or primary care appointment.

Track for two weeks before the visit

Note memory changes with concrete examples and dates, not general impressions.
Record sleep patterns, including night waking and daytime sleeping.
Track appetite, weight change and hydration.

Bring to the appointment

A complete medication list including supplements and over-the-counter drugs.

Your two-week symptom notes.

A one-page summary of the top three concerns, ranked.

Questions worth asking

What type of dementia do you suspect, and what makes you think so?

Could anything reversible be contributing — medication, thyroid, B12, infection, depression, sleep apnea?

Which symptoms should we expect next, and which ones mean call you right away?

23 more items across 3 sections

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Not an emergency service. Saharo does not provide emergency or medical services. If someone is in immediate danger, missing, experiencing sudden severe confusion, or having a possible medical emergency, call 911 or seek urgent medical care.