Take this checklist with you to your doctor's office. Write down when you have any of the tests below. Talk to your doctor about your test results and write them down here. Ask when you should have the test next. Write down the month and year. If you think of questions for the doctor, write them down and bring them to your next visit.
| Test | Last Test (mo/yr) |
Results | Next Test Due (mo/yr) |
Questions for the Doctor |
|---|---|---|---|---|
| Weight (BMI) |
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| Cholesterol Total: |
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| HDL (good): |
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| LDL (bad): |
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| Blood pressure | ||||
| Colorectal cancer | ||||
| Diabetes | ||||
| Sexually transmitted diseases | ||||
| HIV infection | ||||
| Abdominal aortic aneurysm (one-time test) |