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Universal Medication Form

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Universal Medication Form

The Universal Medical Form helps you remember ALL of the medicines you are taking. ALWAYS keep this form with you.

This form provides your healthcare providers, family members and others with a current list of all of your medicines. Healthcare providers need to know the herbals, vitamins, and over-the-counter medicines you take, along with your prescription medications. This way concerns may be found and prevented by knowing your medicine combinations.

Click below for a printable version of our Universal Medication Form.

English - Universal Medication Form

Español - formulario de medicamentos universal