annually (r)
/ˈæn.ju.ə.li/

once a year

refer (v)
/rɪˈfɜːr/ 

to direct for treatment or information; to mention

record (n)
/ˈrek.ɔːd/ 

an official copy of documents

recommendation (n)
 /ˌrek.ə.menˈdeɪ.ʃən/

a suggestion or piece of advice about how to solve a problem, deal with a situation etc

prevent (v)
 /prɪˈvent/

to keep from happening; to hinder

manage (v)
/ˈmæn.ɪdʒ/

to be able to solve your problems, deal with a difficult situation, etc.

instrument (n)
 /ˈɪn.strə.mənt/

a tool or device used for a particular task, especially for delicate or scientific work

effective (a)
 /ɪˈfek.tɪv/

producing the desired effect; being in effect

diagnose (v)
/ˈdaɪ.əɡ.nəʊz/ 

to recognize a disease; to analyze the nature of something

assess (v)
 /əˈses/

to determine the value or rate of something

appointment (n)
 /əˈpɔɪnt.mənt/

arrangements for a meeting

serious (a)
/ˈsɪə.ri.əs/ 

not joking; not intended to amuse

prescription (n)
/prɪˈskrɪp.ʃən/

a piece of paper on which a doctor writes the details of the medicine or drugs that someone needs

reflexology (n)
/ˌriː.flekˈsɑː.lə.dʒi/

a treatment in which your feet are rubbed and pressed in a special way in order to improve blood flow and help you relax

psychiatrist (n)
/sɪˈkaɪə.trɪst/

a doctor who is also trained in psychiatry

acupuncture (n)
/ˈæk.jʊ.pʌŋk.tʃɚ/

a treatment for pain or illness in which thin needles are positioned just under the surface of the skin at special points around the body

rheumatologist (n)
/ˌruː.məˈtɑl.ə.dʒist/

a doctor who has special training in treatment for arthritis.

paediatrician (n)
/ˌpiː.di.əˈtrɪʃ.ən/

a doctor who has special training in medical care for children

physiotherapist (n)
/ˌfɪz.i.əʊˈθer.ə.pɪst/

someone who treats people using physiotherapy

optician (n)
/ɑːpˈtɪʃ.ən/

someone whose job is examining people's eyes and selling glasses or contact lenses to correct sight problems