Patient/Visitor

Your Medication List

Your Medication List

Medication errors can be prevented if your medication records are accurate, up-to-date and accessible to your physician. Since it's not always easy to remember what medications you are taking, we are providing you with a framework for listing your medications before you come for your visit or surgery. This list can be brought with you and updated periodically, as needed.

The list quickly conveys to your doctor all the medications you are currently taking. If used properly, the medication list can become a vital part of the chart and make the physician's job much easier. More important, it can help you to help your physician provide higher quality care and minimize medication errors and adverse drug interactions.

Instructions for Using the Current Medication List

  1. Always keep this form with you
  2. Take this form to ALL doctor visits and ALL medical testing (lab, x-ray, MRI, CT, etc.). Take this form to ALL pre-assessment visits for admission or surgery and ALL hospital visits (ER, in-patient admission, out-patient visits).
  3. Update this form as changes are made to your medications. When a medication is stopped, draw a line through it and record the date it was stopped. If help is needed, ask a physician, nurse, or pharmacist to help you fill out this form.
  4. Tell your family, friends and neighbors about the benefits of using this form.
  5. When you are discharged from the hospital, you will get an updated list of your medications. This will be reviewed with you and you will be given a copy. When you return to your doctor, take your updated list with you. Always keep this form with you. This will keep everyone up-to-date on your medications.

Current Medication List

This form is provided in pdf format and can be downloaded directly to your computer. Right click to download and save on your computer.

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