Jump to a section
Start here (30 seconds)
A new specialist has minutes to understand a child you've known for years. Your job is not to tell the whole story perfectly — it's to bring the pieces that save time and prevent repeat tests.
Print this page. Check off what you have. Don't stress over what you don't.
The checklist
Medical records
- Genetic test results (full report, not just a summary letter)
- Most recent clinic notes from your current specialists
- Hospital discharge summaries from the last 12 months
- Surgery or procedure reports
- Growth charts or developmental assessments
- Immunization record
Medications & therapies
- Current medication list with doses and schedules
- List of supplements, vitamins, and alternative therapies
- Allergies and adverse reactions (documented)
- Equipment list — wheelchair, feeding pump, ventilator, etc.
- Therapy schedules (PT, OT, speech, ABA)
Daily life snapshot
- A one-page "day in the life" — sleep, feeding, seizures, behaviors
- Photos or short videos of concerning episodes (if appropriate)
- School or early intervention reports (IEP, 504 plan)
- Insurance card and referral paperwork
Your questions
- Top 3 questions written down (in your own words)
- A notebook or phone notes app ready to capture answers
- Someone to come with you, if possible — a second pair of ears helps
Getting records when they're scattered
Most families don't have a neat folder. Here's how to gather what you can:
- Patient portals — Log into each hospital's online system and download visit summaries. Search "after visit summary" or "clinical notes."
- Call medical records — Request a complete chart. It may take 2–4 weeks. Ask for electronic delivery (CD or secure download) if available.
- Genetic lab — Call the lab that ran the test and ask for the full variant report, not just the result letter your doctor received.
- Your current specialist's office — Ask them to compile a referral packet. Many will do this if you give a few days' notice.
Tip: A 1-page summary you write yourself — diagnosis, key dates, current meds, top concerns — is often more useful than 400 pages of unorganized records.
For your child — comfort & regulation
- Favorite comfort item — stuffed animal, blanket, tablet with headphones
- Snacks and drinks — appointments run long; hospital cafeterias are not always nearby
- Diapers, wipes, spare clothes — always one more than you think you need
- Medications due during the visit — with timing instructions written down
- Communication tools — AAC device, picture cards, or a one-liner: "My child is nonverbal. Please talk to us, not over us."
- Sensory supports — noise-canceling headphones, sunglasses, weighted lap pad
Questions to prepare
You won't get to all of these. Pick your top three.
- What do you see when you look at my child's records — and what's missing?
- What tests or evaluations do you recommend — and which can wait?
- What is your experience with this specific condition?
- How do you communicate between visits — portal, email, phone?
- Who else should be on our team?
- What should we watch for at home before the next visit?
During the visit
- It's okay to take notes — or record audio if the doctor agrees.
- It's okay to say "I don't understand" — ask them to say it again in plain language.
- It's okay to ask for a moment — step into the hallway, breathe, come back.
- Bring a second adult if you can — one listens while the other tends to your child.
- Ask for a written summary before you leave — next steps, new orders, follow-up date.
After the visit
- Write down your impressions while they're fresh — what felt right, what felt off.
- Request records from today's visit for your files.
- Follow up on referrals and orders within a week — they fall through the cracks easily.
- If something doesn't sit right, you can always get a second opinion.
A good specialist makes you feel like a partner, not a problem.
If you walked out feeling dismissed, that is information too — and you are allowed to keep looking.
What to do next
- Print this checklist and tuck it in your care binder.
- Start a one-page summary tonight — even bullet points help.
- Email VENE if you want help organizing questions before a big appointment.