Skip to content

Carissa Spisak holds a doctorate in speech-language pathology.

Doctor Carissa
Menu

Large-Print Doctor Visit Log

Doctor appointment log, in large print: a 10-page printable PDF of blank forms for keeping track of doctor visits. An appointments list, a visit log with one visit to a line, a page to fill in before a visit and one for during and after it, questions for the doctor, a page for what changed after a visit, and a notes page.

$1.99printable PDF

Buy on Etsy
  • Instant download
  • 10 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

You buy it in our Etsy shop and download the files right after checkout. Instant downloads on Etsy don’t accept returns, exchanges or cancellations; message us on Etsy about any problem with your order.

  • One page of the doctor visit log, filled in with an invented example: the name, then five visits, each on one line with the date, doctor or clinic, why, what was decided and the next visit.
  • Cover: the Large-Print Doctor Visit Log, with the before a doctor visit page filled in with an invented example, in front of the during and after page and the what changed page.
  • What's inside, 10 pages: appointments, the visit log, before a visit, during and after, questions, what changed and notes.
  • The before a doctor visit page and the during and after a doctor visit page, both filled in with invented examples.
  • Close-up of the doctor visit log with five visits filled in, one to a line: date, doctor or clinic, why, what was decided and the next visit.
  • The questions for the doctor page with four questions and their answers, and the what changed after a visit page with five lines, both filled in with invented examples.
  • The appointments page with five appointments and the notes page, filled in with invented examples.
  • How it works: download two PDF files, type or write, print at home, take it along. Blank forms with no advice, text and lines only.

8 pictures: swipe to see them all, tap one to zoom.

What’s inside

10 pages in each PDF

  1. Start here: what's inside and how to print and fill in1 page
  2. Appointments: 15 lines for the date, time, who and where, and what for1 page
  3. Doctor visit log: 14 lines, one visit to a line, for the date, doctor or clinic, why, what was decided and the next visit1 page
  4. Before a doctor visit: the date, time and doctor, the reason for the visit, changes since the last visit and 4 questions to ask1 page
  5. During and after a doctor visit: notes from the visit, what was decided and the next appointment1 page
  6. Questions for the doctor: 9 numbered questions, each with a box for the answer1 page
  7. What changed after a visit: 14 lines for the date, what changed (for example a medicine started, stopped or changed, a test or a referral) and who said so1 page
  8. Notes: a lined page1 page
  9. Personal-use license and about these pages2 pages

$1.99printable PDF

Buy on Etsy
  • Instant download
  • 10 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

Who it is for

Anyone who keeps track of doctor visits, their own or a parent's, and the family caregivers who go along to appointments.

How it works

  1. Type before you print, in the free Adobe Acrobat Reader, or print the pages and write by hand. Long names shrink to fit.
  2. Type the person's name once: it fills in on the visit log, before a visit, what changed and notes pages.
  3. Fill in the before page in the days before a visit and take it along. Write on the during and after page at the visit.
  4. Print the pages as often as you need and keep them together, newest on top.

Sizes and format

  • 2 PDF files: US Letter (8.5 x 11 in) and A4, 10 pages each
  • Large print: page titles 26 pt, labels 18 pt, the column headings of the visit log and the what changed page 14 to 16 pt
  • The fill-in fields need the free Adobe Acrobat Reader
  • Blank forms, text and lines only: no illustrations, no advice
  • The appointments, before a visit, during and after a visit, and questions pages are the ones in our Caregiver Binder
  • Instant download. No physical item is shipped.
  • Pages drafted with AI writing tools and checked by us.

The files

  • US LetterPDF, 10 pages, 226 KB
  • A4PDF, 10 pages, 226 KB

Your license

For personal use in one household: print as many copies as you need, and please don't share or resell the files.

A closer look

  • Cover: the Large-Print Doctor Visit Log, with the before a doctor visit page filled in with an invented example, in front of the during and after page and the what changed page.
  • What's inside, 10 pages: appointments, the visit log, before a visit, during and after, questions, what changed and notes.
  • The before a doctor visit page and the during and after a doctor visit page, both filled in with invented examples.
  • Close-up of the doctor visit log with five visits filled in, one to a line: date, doctor or clinic, why, what was decided and the next visit.
  • The questions for the doctor page with four questions and their answers, and the what changed after a visit page with five lines, both filled in with invented examples.
  • The appointments page with five appointments and the notes page, filled in with invented examples.
  • How it works: download two PDF files, type or write, print at home, take it along. Blank forms with no advice, text and lines only.

Free printables and guides

More from this collection

  • Large-Print Caregiver Timesheet

    A large-print timesheet to print or fill in: time in, time out and hours for each day, tasks done as tick boxes, both people's initials and signatures, one week or two weeks to a page, with a monthly hours summary and notes. Not an official program form.

    $1.99Printable PDF

  • Daily Caregiver Checklist

    A large-print tick-box checklist, one page a day: 8 everyday tasks and 4 blank lines for your own, morning, midday, evening and night, with a weekly summary.

    $1.99Printable PDF

  • Large-Print Blood Pressure Log

    Weekly pages from Monday or Sunday with morning and evening rows, an undated log, a month on two pages and a notes page.

    $1.99Printable PDF

Doctor Carissa is the shop of Carissa Spisak, who holds a doctorate in speech-language pathology.

An educational support tool. Not a substitute for evaluation or treatment by a licensed speech-language pathologist or physician. Read the full disclaimer.

All printables in the shop

Buy on Etsy, $1.99