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Keeping an up-to-date copy of the Universal Medication Form in your wallet is one way patients can take a more active role in their health. This form contains valuable information health care providers need when making decisions about your care. The Universal Medication Form includes a record of your immunizations, allergies, prescribed medications, and any vitamins, herbal supplements or over-the-counter medicines you might be taking.
Tips On Using This Form
Questions to Ask About Every Medicine You Take
Click here to download the Universal Medication Form in Spanish.
You can also download the Universal Medication Form as a PDF in English or Spanish.
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