Free to print. Easy to share.
Less to remember. More to discuss.
Bring your notes and questions to your next appointment. Start with a free worksheet you can keep on paper.
No account, email address, subscription or Apple Watch needed. These are blank sheets for your own notes.
Choose your sheet
Before your appointment
Appointment prep sheet
Make room for what changed, medication questions, your three priorities and the next steps you agree with your clinician.
PDF · 1 page · US Letter · print and fill in by hand
When you want to keep a record
Episode log
Write down timing, what you noticed, any available readings and the questions you want to discuss. Leave unknown details blank.
PDF · 1 page · US Letter · print one copy per entry
Keep your completed notes private
Nothing you write on these paper sheets is submitted to this website. Keep completed copies somewhere private and share them only with the people you choose.
Use your clinician’s plan for what to record and when to seek help. Noticing symptoms does not confirm AFib, and a day without symptoms does not show that AFib was absent.
Prefer keeping your record on your iPhone?
My AFib Companion brings episode notes, medications and daily check-ins together, then turns your recorded data into a PDF you can share. Apple Watch is optional.
See the clearly fictional sample report or explore the app.
Eligible new subscribers: 30-day free trial, then $9.99/month or $59.99/year, billed annually (US pricing). Subscription required for the app; these sheets stay free. Apple confirms local pricing and eligibility.
Made by the app’s developer
These original worksheets were prepared by Bryan Wrinkle, the developer of My AFib Companion. They are record-keeping prompts, not clinically reviewed tools. You may print, adapt and share the blank sheets for personal or patient education use.
About Bryan and our content · Updated .
Primary references
The NHLBI’s AFib symptoms guide discusses noting symptom timing and changes. The American Heart Association’s AFib resources include medication and appointment materials. These organizations do not endorse this website or app.
For records and questions
These resources are general information, not medical advice, diagnosis or treatment. Never change medication based on a worksheet or this app.
If you think you are having a medical emergency, call 911 or your local emergency number. Do not delay care to complete a sheet.