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Patient Safety Awareness MOnth

For Consumers - My Medicine List

A form to help consumers keep track of medicines, including over-the-counter and herbal medicines, vitamins and allergies. This form will also help consumers talk with their doctor about their medicines.

Click to download
My Medicine List with Blue.pdf

Download Instructions:

  1. Click on the link above to begin your download. If you see "File Not Available", contact mnichols@mocps.org.
  2. If the document opens on your computer after clicking the download button, you can save the document on your computer and/or print the document for your use.
  3. If you are prompted to save the file to your computer, select "Save", name the file and then open the file on your computer to view and print the document.
  4. Some documents are available in Adobe PDF format. If you do not have the free Adobe Reader or are unable to open the files you can download Adobe Reader.

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