MEDICATION INFORMATION
Fill in all required information for this specific client. Be aware that one medication may be used for several different reasons/purposes. You must specify the purpose/reason for the medication for this specific client. Special instructions and warnings are usually on the medication container. Cautions, possible side effects, and special instructions for use can be found on the pharmacy notes, the internet, or medical reference. Special instructions can also be found on the medication label medication container. Use as many lines for each medication and as many pages as needed.
Client	Month/Year
Date Started	Medication Name/

Generic Name	Purpose Specific to Client	Special Instructions	Cautions/Warnings	Possible Side Effects/

Drug Interactions