Personal notes only — not a clinic record or medical advice. Follow your care team’s instructions. For emergencies, call 911 or your local emergency services.
Same page as the book · more room
My Treatment
Same labels as the chairside page. If the day was routine, you can stop early. If something stood out, the site opens the rest.
My Treatment helps you organize your own treatment-day notes and questions. It does not interpret your treatment or replace guidance from your care team. If something feels urgent, contact your care team or emergency services rather than relying on this tool. Medical Disclaimer
Emergency: If this is happening now — chest pain, trouble breathing, sudden weakness on one side, confusion, or anything that feels like an emergency — call 911 or seek emergency care immediately. Do not use this tool instead of emergency evaluation.
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Step 1 of 4 · How it went
Date · Day
At a glance · how it went
Something changed
Use this when the treatment did not run as usual. Leave unused lines blank.
What kind of change?
What happened, in order
What I was told
What changed when I came back to dialysis
My care team changed my target weight from / to
Make-up treatment date, if any
Medications changed? Use a Medication Change page. Access changed? Use an Access Event page.
What I need to follow up on
The chairside page
What happened, in order
A few words are enough. Leave blank if the treatment was routine.
Access today
Only mark something if it was different or you received a new instruction.
Numbers I was told
Write the numbers you were told. Leave blank if you do not know. This is your note, not the clinic record.
When did I feel back to my usual self?
Prepare · One thing to ask next time
Suggestions follow what you marked. Same list as the Questions printable.
Add the detail the page did not have room for
Optional. Search or tap what belongs to this day.
Pins
What staff did
Personal notes only. Use them to remember what happened and what you want to ask your care team.