Provider Verification Worksheet

Provider Verification Worksheet

Use this worksheet before you treat any clinic, hospital, doctor, dentist, recovery stay, concierge, or facilitator as verified.

This worksheet is for personal research. It is not medical advice and does not verify or recommend any provider.

Provider Identity

QuestionNotes
Exact provider or organization name
Official website
Country, city, and facility address
Public phone or email listed by the provider
Is the provider a clinic, hospital, doctor group, facilitator, hotel, recovery stay, or another type?
Is the procedure or service performed at the same location being advertised?

Clinician And Facility Checks

QuestionNotes
Names of doctors, dentists, surgeons, nurses, or clinicians involved
License, registration, board, colegio, or regulator source to check
Hospital privileges or operating facility
Who handles complications or transfer to a hospital?
Who provides follow-up after you return home?

Accreditation And Source Review

QuestionNotes
Accreditation claimed by the provider
Official accreditor directory link
Does the accreditation apply to the exact facility and service?
Last date you checked the source
Other official sources checked

Pricing And Package Details

QuestionNotes
Quoted price and currency
What is included?
What is excluded?
Deposit and refund terms
Medication, labs, imaging, facility, anesthesia, or revision costs
Travel insurance or medical evacuation questions

Records And Follow-Up

QuestionNotes
Records you need before leaving
Discharge instructions
Medication list
Procedure notes or implant/device details
Emergency contact during recovery
Follow-up plan at home

Stop And Review

Pause before booking if: