Medications and Supplies

MEDICATIONS AND SUPPLIES

Your OT, PT, nurse, doctor, pharmacist, or prosthetics team member can answer these questions for you. For additional information, refer to the chapter on Medications.

1. What are your medication and supply needs?
A. ___________________________________
B. ___________________________________
C. ___________________________________
D. ___________________________________
E. ___________________________________
F. ___________________________________

2. What are the side effects of your medications?

Medication: __________________________
Side Effects: _________________________
____________________________________

3. How and where will you get your medications and supplies refilled? (There may be a two-week lag time)

How: _______________________________
____________________________________

Organization: _________________________
Address: _____________________________
_____________________________________

Phone: ______________________________