Personal medication list printable

• PERSONAL MEDICATION RECORD - Beaumont Health

  KEEP A COMPLETED & UP-TO-DATE CARD WITH YOU AT ALL TIMES Name of Medication (Prescriptions, over-the-counter, eye drops, supplements, patches, …

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• P MEDICATION LIST FOR PATIENT NAME, DOB:XX/XX/XXXX

  Pharmacy Name . Address . City, St Zip . PERSONAL MEDICATION LIST FOR PATIENT NAME, DOB:XX/XX/XXXX This medication list was made for you after we talked. We also used information from your prescription claims data.

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• [PDF File]My Personal Medication Record - AARP

  https://info.5y1.org/personal-medication-list-printable_1_4c0ddf.html

  My Personal Medication Record How to use this Guide: • Use this record to keep track of your medications, including prescription drugs, over-the counter (OTC) drugs, herbal supplements, and vitamins. • Share the information with your doctors and pharmacists at all visits. • …

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• [PDF File]Personal medication list - FreseniusKidneyCare

  https://info.5y1.org/personal-medication-list-printable_1_19a8c7.html

  MEDICATION LISTEEO TET Personal medication list Fill out and print this form. Keep a paper copy with you at all times. Remember to reprint and update your list if your doctor makes any changes to your medications.

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• [PDF File]PERSONAL MEDICATION LIST - SilverScript

  https://info.5y1.org/personal-medication-list-printable_1_318591.html

  PERSONAL MEDICATION LIST FOR: This medication list may help you keep track of your medications and how to use them the right way. • Use blank rows to add new medications. Then ill in the dates you started using them. • Then write the date and why you stopped using them. • providers in your care team to update this list at every visit.

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• [PDF File]Personal Medication List

  https://info.5y1.org/personal-medication-list-printable_1_3d5fce.html

  Instructions for Personal Medication List • Write the name of each medication you take, the reason, the dose, etc. • In the last column, write special instructions such as “with food,” etc. • In the over-the-counter section, include vitamins, nutritional supplements, pain relievers, antacids, laxatives and/or herbal remedies.

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• [PDF File]Universal Medication Form - Patient Safety Authority

  https://info.5y1.org/personal-medication-list-printable_1_1e5a40.html

  Universal Medication Form List all tablets, patches, inhalers, drops, liquids, ointments, injections, etc. Include prescription, over-the-counter, herbal, vitamin, and diet supplement products. Also list any medicine you take only on occasion (like Viagra, nitroglycerin). Check here if additional pages of medicine list attached Medication

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