My treatment discussion worksheet | Dr. Mohammed Hatem Alsubaih

This is a discussion worksheet, not a procedure recommendation or a validated clinical decision aid. Leave unknown information blank and ask your clinician.

What decision or question am I discussing?First option as explained by the clinicianAnother option or alternative I want to discussWhich benefits and risks did the clinician explain?What is still unclear?What matters most to me?Agreed next step and review date, if available

Questions that may help the conversation

Why does this option fit my situation?
What are the alternatives, including waiting if appropriate?
How might treatment affect bowel control and daily life?
What information could change the plan?

Entries are not saved automatically. Keeping a worksheet stores it in this browser session; clear your session file on a shared device. Downloaded files remain on your device.

Your next step

Organise records and your timeline

Sources and preparation

Ottawa Hospital Research Institute — Personal Decision Guides

How is content prepared?