Checklist

Is the office location convenient for you?

• □ Yes □ No
  Is the office location convenient for your home or work?
  (If you anticipate frequent visits, location may be particularly important.)
• □ Yes □ No
  Is the office near public transportation?
• □ Yes □ No
  Does the office have convenient or affordable parking available?

How available is the practitioner?

• □ Yes □ No
  Is the practitioner taking new patients?
• □ Yes □ No
  Does the practitioner make evening or weekend appointments?
• □ Solo □ Group
  Does the practitioner have a solo or group practice? If it's a group practice:
  • □ Yes □ No
    Can you request to see your practitioner?
  • □ Yes □ No
    Do you like and trust the other healthcare professionals who may be involved in your care?
• □ Yes □ No
  Are special arrangements made for handling emergencies outside of office hours? Is the practitioner available in emergency situations?
• □ Yes □ No
  Is the wait time to make an appointment acceptable?

What is your impression after your initial consultation with the practitioner?

• □ Yes □ No
  Do you and the practitioner have compatible communication styles?
• □ Yes □ No
  Does the practitioner and staff follow guidelines for infection control? Do the healthcare professionals wear gloves when appropriate? Do they wash hands between patients?
• □ Yes □ No
  Are you comfortable with the practitioner's general manner and treatment style?
• □ Yes □ No
  Does the practitioner seem up-to-date on the latest treatment options?
• □ Yes □ No
  Does the practitioner explain techniques that will help you prevent health problems? Are preventative or home care instructions provided?
• □ Yes □ No
  Is the practitioner open to your concerns, questions, and comments?

What other considerations are important to you?

• □ Yes □ No
  Does the practitioner accept your insurance?
• □ Yes □ No
  Is information provided about fees and payment plans before treatment is scheduled?
• □ Yes □ No
  Are the practitioner's costs comparable to others for the same procedures/visits?

Concerning Specific Medical Conditions

If you have a specific medical condition, symptoms or a family history for a condition, you may want to consider the following.

• ________
  How many years of experience does the practitioner have?
• ________
  How many times has the practitioner performed the procedure or treatment you need?
• □ Yes □ No
  Is there a medical specialist that would be better suited to treat or care for your condition?
• □ Yes □ No
  Are you confident about taking the practitioner's advice?
• □ Yes □ No
  Are you reassured by the practitioner's comments and actions?