My Health Appointment Form

October 2023

This is an Easy Read form for people with intellectual disability and their supporters.

You can use this form to prepare for a health appointment.

You can write down everything you want to tell or ask your health worker.

You can also use this form to take notes with health workers during an appointment.

For more information call us on 1800 424 065 or email info@cid.org.au.

You might also be interested in these resources:

These Easy Read letters can be tailored for each person a health worker is dealing with.

An Easy Read information guide to help you when you go to see a doctor.

An Easy Read folder that improves communication between people with an intellectual disability and healthcare providers.

See all resources