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Pt. Name: Address: City DOB: Medication or SubstanceCurrent Medications and OvertheCounter Medicines: NameDoseAllergies Anemia Angina Anxiety Disorder Arthritis Asthma Atrial Fibrillation Bowel Disease
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Medication or substance is a substance used for treating or preventing disease, usually in the form of a pill, liquid, or injection.
Healthcare providers, pharmacists, and individuals prescribed medication are required to file information about medication or substance.
To fill out medication or substance, you need to provide details such as the name of the medication, dosage, frequency of use, and any side effects.
The purpose of medication or substance is to improve health outcomes by treating or managing medical conditions.
Information such as the name of the medication, dosage, frequency of use, and any side effects must be reported on medication or substance.
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