Personal Health Recordss

Prescriptions and Medications

You can use this form to record prescription drugs, non-prescription medications and nutritional supplements taken on a periodic basis. In addition, you can list the contact information for your pharmacy or pharmacies. Entering the information and printing it out to take to a medical professional will help assure accurate information as to dosage, etc., is supplied to your doctors.

Click on Prescriptions and Medications to list the medications you take along with other information about the medications, including the dosage and schedule, prescribing doctor, pharmacy that fills the prescription, etc. Once completed, this information should be saved to your local computer. Once saved, you can print this information for the records of your caregiver, bring it with you when you visit a doctor, etc.