form and fill in the information for blood, urine, X-ray, or any other test
your doctor recommends. You may need to make copies if more than one test is
What is the name of the test?
Why do I need this test?
What might happen if the test is delayed or not
How accurate is the test? Are there other tests that are
How much does the test cost?
Is there a less expensive test that might give the same
Questions to ask about the test
What should be done to prepare for the
Where will the test be done?
How long does this test take?
How will I feel during the test? Is it
Will I need to arrange for someone to take me
home after the test?
What are the risks?
What can the results show?
Will the results change the treatment? Yes ___
No ___ If yes, explain:
What can affect the results (for example, food,
exercise, medicine, alcohol, or smoking)?
When will the results be available?
Date I will be notified about my test results:
Date for a follow-up appointment:
After the test, what will be the next
Will other tests be needed?
Ask about brochures or other information about
State any concerns you have about the test.
If the benefits of a test don't seem to outweigh the risks, or if the test results will not change the treatment, ask your doctor if you really need this test. Try to agree on the best approach. No test can be done without your permission, and you have the right to refuse a test.
ByHealthwise Staff Primary Medical ReviewerAdam Husney, MD - Family Medicine Martin J. Gabica, MD - Family Medicine Specialist Medical ReviewerMartin J. Gabica, MD - Family Medicine
PeaceHealth endeavors to provide comprehensive health care information, however some topics in this database describe services and procedures not offered by our providers or within our facilities because they do not comply with, nor are they condoned by, the ethics policies of our organization.