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My Medicine Record

Internet URL

http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM095018.pdf  

Sponsoring Agency

U.S. Food and Drug Administration

Description

Use this handy form to keep track of all your medicines - their names, descriptions, dosages, directions, prescribers, start and stop dates, and more.

Related Topics

Review Date

2/24/2012