Consultation tools

Dr Ali Beddouche · Témara

My medicines and allergies

Print these sheets and complete them on paper. No health information is stored on this website.

Date : ____________________

Medicine or product name, dose and schedule

Supplements, herbal and non-prescription products

Known allergies and reaction experienced

Medicines recently started, stopped or changed

Questions for the doctor or pharmacist

This sheet supports the discussion and does not replace personal instructions. Ask your care team to complete treatment decisions.

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