Patients and Visitors

Medication Information Record

Be a partner with your health care team and know what prescription and nonprescription medications, herbals, and dietary supplements you are taking.

Be safe by maintaining a current medication record and make it available to your family.

Situations when you need to have a list of your current medication include: seeking medical care from your current physician or new physicians seeking medical care at a hospital or clinic, especially if you are out of town.

Be sure to show your medication record to a nurse or physician during every hospital preadmission or admission interview. This will help improve communication with the health care team and help lower the risk of medication errors.

Be aware that your health care team needs to know about any medicines, vitamins, herbals, teas, and dietary supplements that you take. These include:

  • Prescription medicines
  • Medicines that you can buy without a prescription, such as antacids, aspirin and other pain relief medicine, cough syrup, laxatives, and nasal sprays.
  • Vitamins and dietary supplements, such as black cohosh, glucosamine, ginkgo, ginseng, and St. John's wort.

Mercy Iowa City strongly encourages you to complete and carry a medication record. This is especially important for people who:

  • Take more than one medication
  • See more than one physician
  • Have a chronic health condition
  • Have medication allergies

By keeping this record with you, you can help lower the chance of a medication error and improve communication among your physicians, dentists, hospital, pharmacy, nurses, and other health care providers.

To obtain a medication record for your own completion, simply click on the link below or call Mercy on Call at 358-2767 or 1-800-358-2767. Adobe Acrobat Reader is required to read this file. Acrobat Reader can be dowloaded for free by clicking here.

Medication Record

Be responsible for your medication safety and take the time to complete a medication record.