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S:\LINCOLN FORMS\Lincoln Front Office\New Patient Cataract Information\MEDICATION
SHEET.doc
Patient Name_______________________________ Date____________________
MEDICATION SHEET
PLEASE LIST ALL OF YOUR CURRENT MEDICATIONS, THE DOSE, AND HOW
MANY TIMES A DAY YOU TAKE THEM
Name of Medicine
Dosage Per Day
IF YOU NEED HELP FILLING OUT THIS FORM, PLEASE
BRING ALL MEDICATIONS WITH YOU TO YOUR APPT.
DOWNLOAD HERE


For all of its faults, it gives most hardworking people a chance to improve themselves economically, even as the deck is stacked in favor of the privileged few. Here are the choices most of us face in such a system: Get bitter or get busy. | Bill O’ Reilly