Prepare

Start with your main concern. Use OLDCARTS to describe symptoms:

• Onset – When did it start?
• Location – Where is it?
• Duration – How long does it last? Has it changed?
• Character – What does it feel like (sharp, dull, throbbing, etc.)?
• Associated Symptoms – What else happens with it?
• Radiation – Does it spread?
• Treatment – What makes it better or worse?
• Severity – How bad is it (1–10)?

Engage

Bring your health history (past conditions, family illnesses, lifestyle factors). Share your perspective openly — your thoughts and questions matter.

Respond

1. Confirm that you are understanding. Ask questions such as:
   “Does this work for me?”
   “I don’t understand.”
   “Why are we doing this?”
   “Are there alternatives?”
2. Repeat the plan and ask questions:
   “Doctor, what do you think is going on?"
   "What is the treatment plan?"
   Ask yourself: "How do I feel about this plan?"
3. Ask how to best communicate after the visit.
4. Confirm next steps you are responsible for them. Taking these steps ensures you and your doctor are on the same page.

If you would like a copy, download the document here or visit your local Kansas City Public Library.

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