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Medication List
Use this chart to keep track of all your medications. Any time your health care provider prescribes a medication, tells you to
stop one or changes a dosage, record the change here. Share this list with any new health care provider you visit. Keep a copy
in your wallet or purse.
Managing
a ag Strength
Brand Name
g Quantity How Often
Generic Name Purpose Notes/Date
(if any) (dose) per Dose to Take
AFib
A Program for Patients & Caregivers
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