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The Medical Information Form is easy to use and will help you keep track of your
medications, vitamins and supplements. It folds up neatly into your wallet or
pocket, and you can change it as often as you need to. And, best of all, it is
absolutely free!
Use the links to the left to learn more about the MedForm.
Few people remember the names and dosages of the medications, vitamins and supplements
they take. Even fewer realize that it can be deadly to mix certain medications
with over-the-counter medicines. By keeping your list of all types of medications
you can have your pharmacist and doctors make sure that it is safe to take them
together.
INCREASE YOUR COMFORT AND SAFETY
Example: Yvonne, a recently divorced woman in her 40's decided to get "back
in shape." Part of her routine was to go for long walks on a local bike path.
One afternoon she simply collapsed. Paramedics were unable to help her and had
no information about who to contact in an emergency. This tragedy could have been
avoided if she had had a MedForm in her pocket along with her keys.
Example: Amy, a 35 year-old bank teller joined her local gym and began
taking exercise classes. After a few months she learned that the heartburn she
had was a symptom of a mild heart problem and she began heart medication. After
she had the flu she started taking some supplements that were advertised as energy
boosters. When she showed her MedForm to her doctor he told her that the combination
of the heart medications she was taking and the supplements could cause permanent
heart damage.
Example: An older patient described a recent episode with paramedics and
ambulance staff " I didn't want them bothering me and asking me questions, they
wanted to know my insurance numbers, which I always know but I botched it and
that got me even more upset." The MedForm could have saved her embarrassment and
helped her get proper medical care faster.
Actual size of form when folded
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