INFORMATION FOR CARERS QUESTIONS FOR MY DOCTOR What is the diagnosis? How long is it likely to last? What can I do to improve my health? MEDI-LIST What is the name of the new medicine you have prescribed for me? What does the medicine do and how should I use it? Name: How long should I use it? Address: Are any side effects likely or should I expect to feel any different while taking this medicine? When should the medicine be reviewed or stopped? Telephone: Please fill in/check my Medi-list. Will this medicine interact with other medicines I use? Medicare number: QUESTIONS FOR MY PHARMACIST Safety Net number: How and when is the best way to use this medicine? Concession card type: Gold / White (DVA): What food, drink, activity or storage might affect how well this medicine Health Care Card: Are any side effects likely or should I expect to feel any different while taking this medicine? Pensioner Concession Card: What can I do to reduce the chance of any side effects? Please fill in/check my Medi-list. Will this medicine interact with other USING THIS MEDI-LIST medicines I use? What should I do if I miss a dose? Ask your pharmacist and doctor to fill in your Medi-list showing ALL the medicines you use regularly Can you give me any information about this medicine? (including medicines prescribed by doctors and medicines is a problem for me because of my medicines bought from pharmacies, supermarkets or sight/swallowing/strength/memory. How can you help me? health food shops). Update your Medi-List whenever a new medicine is added or your medicine/s change.
QUESTIONS FOR MY DOCTOR What is the diagnosis? How long is it likely to last? What can I do to improve my health? What is the name of the new medicine you have prescribed for me? What does the medicine do and how should I use it? How long should I use it? Are any side effects likely or should I expect to feel any different while taking this medicine? When should the medicine be reviewed or stopped? Please fill in/check my Medi-list. Will this medicine interact with other medicines I use? QUESTIONS FOR MY PHARMACIST How and when is the best way to use this medicine? What food, drink, activity or storage might affect how well this medicine Are any side effects likely or should I expect to feel any different while taking this medicine? What can I do to reduce the chance of any side effects? Please fill in/check my Medi-list. Will this medicine interact with other medicines I use? What should I do if I miss a dose? Can you give me any information about this medicine? medicines is a problem for me because of my sight/swallowing/strength/memory. How can you help me? INFORMATION FOR CARERS MEDI-LIST Name: Address: Telephone: Medicare number: Safety Net number: Concession card type: Gold / White (DVA): Health Care Card: Pensioner Concession Card: USING THIS MEDI-LIST Ask your pharmacist and doctor to fill in your Medi-list showing ALL the medicines you use regularly (including medicines prescribed by doctors and medicines bought from pharmacies, supermarkets or health food shops). Update your Medi-List whenever a new medicine is added or your medicine/s change.
attachment_13c_-_medi-list.docx