Get Medication History Form - Uw Medicine

Filling out the Medication History Form - UW Medicine is a crucial step in ensuring that your healthcare provider has the complete picture of your medication usage and any potential allergies. This guide provides clear, step-by-step instructions to help you accurately complete the form online, making the process as straightforward as possible.

Follow the steps to fill out the Medication History Form effectively.

1. Press the ‘Get Form’ button to open the Medication History Form in your preferred document editor.
2. Begin by entering the date in the designated field at the top of the form. Make sure to use the current date.
3. In the 'Patient Name' section, provide your full name as it appears on your identification.
4. In the 'Allergies' section, list any known allergies you have. If you have no allergies, mark the checkbox indicating 'none'.
5. For each substance you are allergic to, specify the type of reaction you experience in the appropriate field.
6. Indicate if you have any reactions to latex or rubber by answering yes or no to the question provided.
7. If you identify as a female patient, answer the questions regarding pregnancy and breastfeeding. Select 'Yes' or 'No' as applicable.
8. Move to the 'Current Medications' section. For prescription drugs, list the medication names, strengths, directions for use, and the name of the prescribing provider. If you have no current prescription medications, check the box marking 'none'.
9. For over-the-counter medications, repeat the process as described for prescription medications, providing the necessary details.
10. Lastly, in the section for herbs, vitamins, and minerals, include the names, strengths, and directions for any that you regularly take. Again, check 'none' if there are none.
11. Once all sections are completed, ensure that you review the information for accuracy. You can then save your changes, download a copy, print the form, or share it as needed.

Complete your Medication History Form online today to ensure your healthcare provider has the information they need.