ORTHOPAEDIC APPOINTMENT CHECKLIST
Prepared for the Dr Shahrukh Khan practice, 11 September 2026.
General preparation aid; not a diagnosis or treatment plan.

My main concern:
When it began / injury or change in activity:
Activities affected:
Treatments already tried and their effect:
My goals for this visit:

Bring existing scans and reports, prescriptions, operation/discharge records,
a medication and supplement list, and details of allergies and health conditions.
Ask the team about specific requirements. Do not arrange tests or stop medicines
simply to complete this checklist; discuss these decisions with your clinician.

Questions:
[ ] What may be causing my symptoms, and what is uncertain?
[ ] Would a test change the treatment decision?
[ ] What options are appropriate, including non-surgical care?
[ ] What benefits, risks, costs and recovery limitations should I understand?
[ ] Which activities are suitable for me?
[ ] When should I seek urgent help, and who should I contact?
[ ] What is my next step and follow-up date?

Clinic confirmed:
[ ] Sanjeevan Hospital, 72 Daryaganj: Tue/Thu/Sat, 12 PM-3 PM
[ ] Apollo Spectra, Karol Bagh: Mon/Wed/Fri, 12 PM-3 PM
[ ] Dashvanth Healthcare, Geeta Colony: Mon-Sat, 5 PM-8 PM

Appointment calls: 9217328011, 12 PM-8 PM
WhatsApp: 9711735864
Confirm clinic and time before travel. For an emergency, attend the nearest
emergency department instead of waiting for a routine appointment.