Transcription of Medication List Wallet Size
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Medication List Wallet Size
If it s on the list, it won t be missedFirst and Last Name Date of BirthGender Male FemalePersonal Health NumberAddressCityProvincePostal CodeEmergency Contact NamePhoneSecondary Emergency Contact NamePhoneFamily Doctor s NamePhonePharmacy NamePhoneSpecialist/Doctor s NamePhoneSpecialist/Doctor s NamePhoneBenefits/Medical Plan Name and # ( Alberta Blue Cross)Medical History Diabetes High blood pressure Heart conditions Breathing problems Other medical history: Allergies (The following is a list of medications I am allergic to, and what happens when I take them) No Medication allergies List.
Before filling in the list, gather all the medication you take (such as pills, patches, inhalers, eye/ear/nose drops, creams, ointments, and samples the doctor gave you). Be sure to include over-the-counter medicine, vitamins, minerals, herbal products, and …
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