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Please ask your doctor to complete this part of form DOCTORS NAME: DOCTORS ADDRESS: TELEPHONE Epilepsy Ireland 249 DRUMLIN ROAD, DUBLIN 12 TEL: 014557500, FAX: 014557013 www.epilepsy.ie, email: info
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How to fill out please ask your doctor:

01
Begin by carefully reading the instructions or information provided about the topic or issue you would like to discuss with your doctor. This can include medication dosage, symptoms, or any concerns you may have.
02
Prepare any necessary documents or medical history that may be relevant to your discussion with the doctor. This can include previous medical records, test results, or lists of current medications.
03
Write down any specific questions or concerns you have for your doctor. This will help ensure that you cover all the information you need during your appointment.
04
Make sure to schedule an appointment with your doctor. This can be done by calling their office or using an online appointment scheduling system if available.
05
Arrive at your appointment on time and be prepared to discuss your questions or concerns with the doctor. It may be helpful to have a note-taking device or paper and pen to jot down any important information or instructions given by the doctor.

Who needs please ask your doctor:

01
Patients who are uncertain about a medical condition or its treatment options. Asking your doctor for clarification or further information can help provide peace of mind and ensure that you are making informed decisions about your health.
02
Individuals with chronic conditions who may need guidance on managing their symptoms or medication. Your doctor can provide valuable advice and suggestions tailored to your specific needs.
03
People who are experiencing side effects or complications from their medication or treatment. It is important to consult with your doctor in case any adjustments or alternatives need to be considered.
04
Individuals who have multiple healthcare providers or are taking various medications. Asking your doctor for advice on coordinating care or managing drug interactions is crucial in maintaining your overall health.
05
Patients who are considering or requiring a surgical procedure. It is essential to have a clear understanding of the procedure, potential risks, and recovery process, which can be achieved by asking your doctor for detailed information.
Remember, communication with your doctor plays a vital role in your overall healthcare experience. Asking questions, seeking clarification, and discussing your concerns openly will help ensure that you receive the best care possible.
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