1. 1
    Fill it out
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  2. 2
    Print or Save as PDF
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    Clear for next person
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S.T.A.R.T. The Conversation For Caregivers™

SShare what matters most

Start the conversation with what matters most to you to talk about today at the appointment - in the fewest words.

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TTheir recent history

Current medications, conditions, and what changed in the last few days or weeks.

0 / 500
 

AAbout what I think

Your honest concern, in one short sentence — what you suspect, or fear may be going on.

0 / 400
 

RRequest

How to present and name your request: (Name of who appointment is for) needs______, how will WE do this? Be clear about what you need: a medication review, referral, call back, or written plan or what else?

0 / 750
 

TTrack it

Write down what you were told — names, doses, dates, who to call, and the next appointment.

0 / 900
 
Harbinson Wellness Solutions, LLC • S.T.A.R.T. the Conversation for Caregivers™
Debbie Harbinson, BSN, MHI, RN, HNB-BC, Faith Community Nurse
Modeled after SBAR, a widely used communication framework endorsed by organizations such as AHRQ, The Joint Commission, IHI, and WHO.