Hi @jthigpen – Welcome to Connect! As you've already seen, there are plenty of helpful people here who have great thoughts and experience to share. I agree with the others that bringing your binder is a good idea. Also agree that since your appointment is tomorrow, if you have not yet gotten an itinerary, go on the portal and print one out for yourself – or just download the app on your phone so you can get to it. A lot of times I print mine, then I take notes on it for future reference. The other tip I would offer is one that was shared here some time ago… first, be sure to have your top several questions listed in writing. That way, if things get overwhelming, at least you are able to get to those crucial items. Second, end by asking if there is anything you have not asked that the doctor thinks you should now. And finally, ask the doctor or PA what is the best way to follow up if you have questions later. (My doctor and PA are always happy to answer over the portal and this doesn't disrupt them, but it doesn't hurt to ask just to clarify.) Good luck. Will you keep us posted on how things go tomorrow? AND, if after your visit, there are things you wish you'd learned here on Connect, will you come back and tell us so we can help others in a similar situation?