Thumbnail for My Health Appointment Form with an Easy Read logo.

My Health Appointment Form

  • Download resource

    • Format: PDF
    • Size: 1,013 KB


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

You might also be interested in these resources: