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Name of medication Dosage When do you take it Who prescribed it Herbs/Vitamins/ Supplements Over the Counter Other Heart/Blood Pressure Preferred Pharmacy CVS Rite Aid Walmart Kroger Publix Walgreens Other Address Phone ALLERGIES Please list all allergies to medications foods and materials i.e. latex adhesive etc. and the type of reaction for example hives rash swelling of throat vomiting etc.. We look forward to meeting you. Phone 770-721-9400 Canton Office 460 Northside Cherokee Blvd....
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