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:
- Click on the link above to begin your download. If you see "File Not Available", contact mnichols@mocps.org.
- 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.
- 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.
- 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.