Radiology: Home Medication Record

PLEASE LIST BELOW what medications your doctor(s) prescribe for you. Include what you take on your own – for example, medicines for fever, aches, pain, coughs, colds; allergy relief; vitamins; herbal products (such as gingko biloba, fish oil, chondroitin, glucosamine, etc.) Also list nutrition supplements such as Boost, Glucerna, etc.

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