Tools

Doctor Visit Checklist

Walk in prepared. Fill this out, print it, and bring it to your appointment — organized information is the best way to be taken seriously and get the right workup.

Your details

Name

Date of appointment

Provider / clinic

Primary concern in one sentence

Questions to ask

Check the ones you want to make sure you cover.

Could my symptoms be caused by Lyme or another tick-borne illness?Which specific tests are you ordering, and what are their limitations?If my test is negative, what else could explain my symptoms?Should I be tested for coinfections (Babesia, Bartonella, Anaplasma, etc.)?What are my treatment options, and what does each involve?How will we know if treatment is working?Should I see a Lyme-literate specialist?

Symptoms to track

Check what you're experiencing so nothing gets forgotten.

Fatigue / exhaustionMigrating joint or muscle painBrain fog / memory problemsHeadachesNight sweats or chillsAir hunger / shortness of breathTingling, numbness, or nerve painMood changes (anxiety, depression, irritability)Sleep problemsHeart palpitations

Other symptoms

Tick bite & exposure history

Known tick bite? When and where?

Time spent in tick habitat (hiking, yard, travel)

Any rash? Describe and note the date

When did symptoms begin?

Medication & treatment history

Current medications & supplements

Past antibiotics or Lyme treatment (what & when)

Allergies

Other diagnoses

Insurance & logistics

Insurance provider

Member ID

Referral needed?

Pharmacy