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What to bring to your urology or pelvic PT appointment
For a urology or pelvic PT appointment, bring a short symptom timeline, your top symptoms in order, medications and supplements, recent test results if you have them, questions you want answered, and a body diagram marked with where pain or pressure appears.
Updated May 2026. By Intero.
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What to prepare before the visit.
- A timeline of when symptoms started and what has changed.
- The three or four symptoms that bother you most.
- Medications, supplements, and anything you have already tried.
- A marked body diagram showing where pain or pressure appears.
- Questions you want answered during the visit.
- Recent imaging or test results, if you have copies.
What is on the form
- One-page summary form
- Timeline and symptom-priority fields
- Medication and history grid
- Questions-for-your-clinician section
- Pelvic and abdominal body diagram
How to use it
- 01Fill it in before the appointment, not in the waiting room.
- 02Mark the body diagram with simple symbols for pain, pressure, or severity.
- 03Bring a copy you can hand over if that feels useful.
- 04Keep your copy so you can update it for a follow-up visit.
Common questions
- Will the clinician read it?
- A concise summary can make it easier to start the conversation, especially when appointment time is short.
- What if I have been before?
- Update the page rather than starting over. What changed since the last visit is often the most useful part.
- Is the form really free?
- Yes. The PDF is free to download.
Sources used
These sources informed the structure and language of this tracking worksheet. The form is informational and does not replace medical advice.