For those who want to record your Skype appointment I have figured out how to do it with a Macbook. If you have a PC you might be able to adapt this. This will only record the audio of both parties. To record the entire thing you have to get a 3rd party app. This puts it in iTunes.
NOTE: Each state has different consent laws for recording. I live in a two party state which means both of us have to consent so I have to ask Dr. Vincent if it is ok. Make sure you know what the laws in your state are. I'm not recording it on my phone because I don't have enough room (I don't think).
Open QuickTime Player>File>New Audio Recording. On the right side of the window that opens there is a little drop down triangle. That is where you set up recording options. You may have to go to System preferences to get this set up. Then press the red record button.
This will put in in iTunes. From iTunes you can email it, export it to Evernote. Leave it there. I like having it in another app (like evernote) just in case something happens to iTunes. Google how to export it. That's what I did.
This is the window that drops down when you open quick time player.