pharmacists planning service, inc. 

     

A good way to prevent errors is to keep an accurate record of all the medications which you are taking. The record should include both prescription and non-prescription medications. Keep the record up to date. Present the list to any provider of medical services on every visit. This should be done especially at times when new medications are being discussed or prescribed. This will not only help to prevent errors. There is the additional benefit or preventing adverse drug interactions.


Name: ________________________________________________

Date
Medicine
How Much?
How Often?
What For?
Refills
9/9/99
EXAMPLE
1 Tablet
400 MG
3 Times/day
after meals
Arthritis
2
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

KEEP THIS ON YOUR PERSON, AND SHOW IT TO YOUR DOCTORS, PHARMACISTS OR NURSE.



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Date of Last Update: 07/27/12