IMPLANTABLE DEFIBRILLATOR - APPOINTMENT QUESTIONS
Name (optional):                         Visit date:
Device clinic / phone:
After-hours contact:
Device manufacturer and exact model:
Implant date / device card location:

Ask the team:
- What rhythm problem is the ICD intended to treat or prevent?
- What benefit and uncertainty apply to my circumstances?
- Which functions do I need? What are the risks and alternatives?
- What help and restrictions will apply during recovery?
- When are in-person and remote checks due?
- Who reviews transmissions, how soon, and what if connection fails?
- What is my written plan after a shock or concerning symptoms?
- Which events require emergency services?
- What driving, work, exercise, and equipment advice applies to me?
- What information should I give other teams before procedures or MRI?
- What support is available for anxiety about shocks?

Location of clinician-provided shock / symptom plan:
Next review:
This worksheet requests a clinical plan; it does not provide device settings.
Source guide: https://yenra.com/defibrillator/
Prepared September 5, 2026.