Table calculations are
1) quite limited, and I'm pretty sure IIF functions are not possible
2) ill advised
Do your calculations in queries and forms and don't save them, except in rare cases. "next date" is not one of those cases.
Other notes - I don't see a "Next Date of visit" field.
Don't know what type of file your "comments" attachments is, but db size can get pretty big if you keep attachments in Access tables. Often, developers will store the path to the file as simple text in the table field and use it to access the file.
The more we hear silence, the more we begin to think about our value in this universe.
Paraphrase of Professor Brian Cox.