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Medication Record


Be a partner with your health care team and know what prescription and nonprescription medications, herbals, and dietary supplements you are taking.

Be safe by maintaining a current medication record and make it available to your family.

Situations when you need to have a list of your current medication include: seeking medical care from your current physician or new physicians seeking medical care at a hospital or clinic, especially if you are out of town.

Be sure to show your medication record to a nurse or physician during every hospital preadmission or admission interview. This will help improve communication with the health care team and help lower the risk of medication errors.

Be aware that your health care team needs to know about any medicines, vitamins, herbals, teas, and dietary supplements that you take. These include:

Prescription medicines

Medicines that you can buy without a prescription, such as antacids, aspirin and other pain relief medicine, cough syrup, laxatives, and nasal sprays.

Vitamins and dietary supplements, such as black cohosh, glucosamine, ginkgo, ginseng, and St. John's wort.

Eastland Memorial Hospital strongly encourages you to complete and carry a medication record. This is especially important for people who:

Take more than one medication
See more than one physician
Have a chronic health condition
Have medication allergies

By keeping this record with you, you can help lower the chance of a medication error and improve communication among your physicians, dentists, hospital, pharmacy, nurses, and other health care providers.

To obtain a medication record for your own completion, simply click on the link below, or pick one up at Eastland Memorial Hospital. Adobe Acrobat Reader is required to read this file. Acrobat Reader can be dowloaded for free by clicking here.

Medication Record

Be responsible for your medication safety and take the time to complete a medication record.