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1Medical History Form Please help your pharmacist keep an up to date record of your health. Please fill in as much as you can. This information will be kept confidential. Today's Date:1. Patient Information:

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How to fill out please help your pharmacist

01

Gather all necessary information and documents, such as your prescription or medication details, relevant medical history, and any questions or concerns you may have.

02

Approach your pharmacist and politely ask for their assistance.

03

Clearly communicate your needs and provide the pharmacist with all the required information.

04

Listen and follow any instructions or recommendations given by the pharmacist.

05

Ask for clarification if you need further understanding or have any doubts.

06

Thank the pharmacist for their help and guidance.

07

Review and double-check the filled out prescription or medication before leaving the pharmacy.

08

If you have any further questions or require additional assistance, feel free to ask the pharmacist.

Who needs please help your pharmacist?

01

Anyone who requires assistance, guidance, or clarification regarding their prescriptions, medications, or any related concerns can benefit from reaching out to their pharmacist and asking for help.

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