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Resources · Free downloads

Patient templates

Free diaries, trackers and checklists to bring to your appointment, ready to fill in on screen or print.

Free printable templates to help you get the most from your appointments with Dr Syed. Each one is a PDF you can fill in on your computer or phone, or print and complete by hand. Bring it along to your next visit.

Everyone

Appointment planner

Write down your main concerns, questions and what you would like from the visit, with space for notes afterwards. A checklist of what to bring is included.

PDF · A4 · 2 pages · fill on screen or print
Download PDF
Women's health

Period & symptom diary

Track bleeding, pain, pad or tampon use and other symptoms over two months, then fill in a short summary. Useful for heavy periods, period pain or irregular cycles.

PDF · A4 · 3 pages · fill on screen or print
Download PDF
Menopause

Perimenopause & menopause tracker

Score 15 common symptoms from 0 to 3 each day. Bring a week or two along to talk through treatment options.

PDF · A4 · 1 page per week · fill on screen or print
Download PDF
Everyone

My medicines & allergies

Keep an up-to-date list of medicines, vitamins, supplements and allergies to take to every appointment, pharmacy or hospital visit.

PDF · A4 · 1 page · fill on screen or print
Download PDF
Prevention

Family health history

Record conditions that run in your family, with a checklist for heart disease, diabetes, cancers, early menopause and more.

PDF · A4 · 1 page · fill on screen or print
Download PDF
Heart health

Home blood pressure log

Record home readings with date, time and pulse, plus simple tips for measuring accurately. Use it when Dr Syed asks you to monitor at home.

PDF · A4 · 1 page · fill on screen or print
Download PDF

Tips for using the templates

  • Fill in on screen: open the PDF in Adobe Acrobat Reader, Microsoft Edge or your phone's PDF viewer, type into the boxes, then save a copy.
  • Print: all templates are A4 and print well in black and white.
  • Keep your information private: these files stay on your own device. Nothing you type is sent to this website.
  • Bring it with you: show it on your phone or bring the printout to your appointment.
These templates are for your own records and are not a substitute for medical advice. If you have severe symptoms or feel unwell, call 000 or go to your nearest emergency department. For non-urgent advice any time, call healthdirect on 1800 022 222.

See also: Useful health links · Health articles · Women's health

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