Medication chart

Use this chart to keep track of the medications you are taking, including:

  • prescription and non-prescription medications
  • natural health products such as vitamins, minerals, and herbal remedies

Share this list with your doctor and pharmacist and discuss any questions or concerns you have about your medication.

Medication chart
Medication Chart
Medication Chart - long description

The chart should include the following information for each medication:

  • Name of medication (include brand name and ingredients)
  • Dosage
  • Time when taken
  • Reason for taking
  • Side effects experienced after taking medication
 

Name of family doctor:

Telephone number:

Name of pharmacy:

Telephone number:

Additional notes:

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