Record of My Medicines and How Well They Work

Date: _________________ Medicine. Dose. How often I take it. How well it is working. Prescribing doctor.

Record of My Medicines and How Well They Work

Topic Overview

Date: _________________

Medicine.

Dose.

How often I take it.

How well it is working.

Prescribing doctor.

Credits

Current as ofDecember 13, 2018

Author: Healthwise Staff
Medical Review: E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine

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