Get the free My Medication List - NYC.gov

My Information Name: Emergency Contact Persons Name:Health Care Providers Name: Phone: Phone: Pharmacy: Phone: Allergies (to medicines, foods, insect bites or anything else): Address: How to Remember

How to fill out my medication list

How to fill out my medication list

1. Start by gathering all your medications, including prescription drugs, over-the-counter medications, vitamins, supplements, and herbal remedies.
2. Make sure you have the complete and accurate information about each medication, such as the name, strength, dosage form, and frequency.
3. Create a clear and organized list, either on paper or digitally, with columns for each piece of information, such as medication name, dosage, and frequency.
4. Include any special instructions or precautions for each medication, such as whether it should be taken with food or at a specific time of day.
5. Update the list regularly, especially when starting or stopping a new medication, changing the dosage, or when any other changes occur.
6. Keep a copy of the list for yourself and share it with your healthcare providers, such as your doctor, pharmacist, and specialists, during appointments or when necessary.
7. Review the list regularly with your healthcare providers to ensure it is up to date and accurate.
8. Be prepared to provide your medication list in case of emergencies or when seeking medical care from new healthcare providers.

Who needs my medication list?

1. Anyone who takes multiple medications or has a complex medication regimen should have a medication list.
2. Individuals with chronic illnesses, elderly individuals, and those receiving care from multiple healthcare providers would greatly benefit from having a medication list.
3. It is also helpful for caregivers or family members who assist in managing someone else's medications.
4. Having a medication list can improve medication safety, facilitate communication with healthcare providers, and ensure that all healthcare providers are aware of the medications you are taking.

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What is my medication list?

Your medication list is a list of all the medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements.

Who is required to file my medication list?

You are required to fill out and file your own medication list.

How to fill out my medication list?

You can fill out your medication list by listing all the medications you are currently taking, along with the dosage and frequency of each medication.

What is the purpose of my medication list?

The purpose of your medication list is to provide healthcare providers with an accurate and up-to-date list of the medications you are taking to ensure safe and effective treatment.

What information must be reported on my medication list?

Your medication list should include the name of each medication, dosage, frequency, and the reason for taking each medication.