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medication log sheet pdf

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My Personal Medication Record My Personal Information Name Date of Birth Phone Number Emergency Contact Relationship Phone Number Primary Care Physician Pharmacy/Drugstore Pharmacist How to use this Guide Use this record to keep track of your medications including prescription drugs over-the counter OTC drugs herbal supplements and vitamins. Share the information with your doctors and pharmacists at all visits. Keep it always with you. Use a pencil* You should review this record...
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