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Get ISMP Universal Medication Form

O list any medicine you take only on occasion or “as needed.” (like Motrin, Aleve, Tylenol, nitroglycerin). • Hospital visits. Always ask your nurse, pharmacist or doctor to help you update your list when you leave the hospital. You need to know what medicines to take and what to stop taking. Bring the updated form to any and all follow up appointments at your doctor’s office or hospital. Page 4 of ___ Date Updated: .

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