Take Back Trust: Provider Visit Planner
This tool is to help you make the most of your upcoming appointments with your healthcare provider. Select any applicable questions to create a personalized list. After completion a personalized PDF will be created that can be emailed to you and downloaded. Feel free to screenshot or print it and take it to your appointment.
General Health & Preventive Care
What preventive screenings should I be getting based on my age, family history, and lifestyle?
Should I be worried about things like weight gain, fatigue, or changes in my skin or hair?
Are there lifestyle changes I should be making to improve my overall reproductive health (exercise, diet, supplements)?
What vaccines or boosters should I be getting, especially if I’m planning on becoming pregnant later?
Are there any particular signs or symptoms I should watch for that might indicate more serious issues?
How can I support my mental health in relation to reproductive care, especially if I’m dealing with stress or family planning challenges?
If you'd like to receive your list via email, please provide your email here. This is optional - you do not need to submit your email if this feels uncomfortable to you.
This email address is only used to send your list, and not shared externally.
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