16. Medications & Supplements Please list all prescription medications and supplements you are currently taking. Refer to the example in the first line Number of Reason for Name of Milligrams* per Number of Prescribing capsules per taking this medication capsule doses per day doctor day medication Vitamin X 500 mg 1 1 x a day Dr. John Doe Omega 3 *or grams, mEq or dosage unit your doctor prescribes.
16. Medications & Supplements Please list all prescription medications and supplements you are currently taking. Refer to the example in the first line Name of medication Milligrams* per capsule Number of capsules per day Number of doses per day Prescribing doctor Reason for taking this medication Vitamin X 500 mg 1 1 x a day Dr. John Doe Omega 3 *or grams, mEq or dosage unit your doctor prescribes.
2_Writable_CA_Health-Profile_2017-01-17.docx