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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.

What to prepare before the visit.

  1. 01A timeline of when symptoms started and what has changed.
  2. 02The three or four symptoms that bother you most.
  3. 03Medications, supplements, and anything you have already tried.
  4. 04A marked body diagram showing where pain or pressure appears.
  5. 05Questions you want answered during the visit.
  6. 06Recent imaging or test results, if you have copies.

What is on the form.

01One-page summary form
02Timeline and symptom-priority fields
03Medication and history grid
04Questions-for-your-clinician section
05Pelvic and abdominal body diagram

Make the pattern easier to see.

  1. 01Fill it in before the appointment, not in the waiting room.
  2. 02Mark the body diagram with simple symbols for pain, pressure, or severity.
  3. 03Bring a copy you can hand over if that feels useful.
  4. 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.

Download the PDF, or keep tracking in Intero.

The worksheet is free. The Intero app gives you a private place to keep tracking on iPhone and review patterns over time.

Sources used

These sources informed the structure and language of this tracking worksheet. The form is informational and does not replace medical advice.

Intero

A private app for keeping track of pelvic and urinary symptoms.

2026 Intero Insights LLC. All rights reserved.

Intero is not a medical device and does not provide medical advice, diagnosis, or treatment. The app and site are for personal symptom tracking and informational purposes only. Talk to a qualified healthcare provider about medical concerns.