medication list for: - project: organize it · medication list for: _____ medication: prescribing...

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Medication List for: __________________ Medication List for: __________________ Medication: Prescribing Doctor: Start/Stop Date: Form: Dosage & Directions: Reason Taken: Symtoms / Reactions: Medication: Prescribing Doctor: Start/Stop Date: Form: Dosage & Directions: Reason Taken: Symtoms / Reactions: Medication: Prescribing Doctor: Start/Stop Date: Form: Dosage & Directions: Reason Taken: Symtoms / Reactions: Medication: Prescribing Doctor: Start/Stop Date: Form: Dosage & Directions: Reason Taken: Symtoms / Reactions:

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Page 1: Medication List for: - Project: Organize It · Medication List for: _____ Medication: Prescribing Doctor: Start/Stop Date: Form:

Medication List for: __________________Medication List for: __________________

Medication: Prescribing Doctor:

Start/Stop Date: Form:

Dosage & Directions:

Reason Taken:

Symtoms / Reactions:

Medication: Prescribing Doctor:

Start/Stop Date: Form:

Dosage & Directions:

Reason Taken:

Symtoms / Reactions:

Medication: Prescribing Doctor:

Start/Stop Date: Form:

Dosage & Directions:

Reason Taken:

Symtoms / Reactions:

Medication: Prescribing Doctor:

Start/Stop Date: Form:

Dosage & Directions:

Reason Taken:

Symtoms / Reactions:

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