Overview
Use this form if your doctor recommends a special treatment, such as radiation or physiotherapy.
General questions
What is the name of the treatment?
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Why do I need this treatment?
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What might happen if I delay or avoid this treatment?
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Are there any other treatment options? If so, describe them:
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What is the next step if this treatment doesn't work?
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Does my provincial health plan cover this treatment? How much is covered?
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Are there other costs to the treatment, such as equipment or therapy?
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Questions to ask about the treatment
What kind of preparation is needed for this treatment?
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Where will the treatment be done (hospital or other location)?
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How is the treatment done?
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Is the treatment painful?
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Will the treatment be done only once or will it be repeated?
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How successful is this treatment?
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What are the risks associated with this treatment?
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Who will do the treatment and how much experience does the doctor have doing this treatment?
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What effects are expected after the treatment?
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What complications might develop (both immediate and long-term)?
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Other questions:
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Does my doctor recommend that I see another health professional? If yes:
Name __________________ Address ___________________ Phone number _____________
Reminders
- Ask for other information about the treatment.
- Ask about a second opinion.
- Ask whether the treatment is covered by your provincial health plan or private insurance. If it is not or is only partly covered, ask how much the treatment will cost and if there are ways to reduce the costs.
- State any concerns you have about having the treatment.
Credits
Current as of:
February 27, 2023
Author: Healthwise Staff
Medical Review:
Catherine D. Serio PhD - Behavioral Health
Adam Husney MD - Family Medicine
