Field checklist / keep the answers

Bring a page. Leave with answers.

Use the sheet for a visit or a call about care. A blank check means the answer still needs work.

Words used in this note

How to use the sheet

Use your browser’s Print command for a paper copy. The print layout leaves space for written answers.

Write the goal
Use your own words to write the problem you are seeking help with.
Ask and record
Work through the checks with the service or clinician and write down the answers.
Verify the records
Match the clinician and pharmacy names to the official Alabama board records.
Keep open questions
Leave an unanswered check blank and note what would resolve it.

Write your goal for the visit, then keep the answers below.

Goal for the visit

Person
Full name, role and licence record match.
Name / licence / status
Assessment
I can describe the reason for the proposed care and the other options.
Reason / options
Medicine
I know the exact name, whether it is a tablet or shot, whether FDA has approved it and whether Alabama allows it to be prescribed.
Name / tablet or shot / FDA approval / allowed in Alabama
Pharmacy
I know who fills or prepares it and have checked the Alabama permit.
Pharmacy / permit
Price
I have the full quote and the price after any introductory offer.
Care / medicine / tests / renewal
Follow-up
I know how to reach the clinician and when the plan is reviewed.
How to reach / next review
Instructions
I know whom to ask about the label, storage or delivery.
Written instructions / question route

An offer can wait while a missing answer is resolved.

A clinician or pharmacy name I cannot match.
An unclear medicine name, FDA approval or permission to prescribe it in Alabama.
A bill that leaves out a recurring fee.
No clear way to ask a question after the visit.

Use these pages when the short sheet is not enough.

Keep going