Medications Form
Please realize there is an important medical difference between true allergies to medications (e.g., rashes, shock)
versus unacceptable side effects to medications. Please separate these as best as you can.

When filling out the current medications section, please include vitamins and any other over-the-counter meds or supplements taken on a regular basis. If you have a separate list, it should include dosage size and times of administration as does this form

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Donald S. Marks, M.D., P.C. -- 45 Resnik Road, Suite 205 -- Plymouth, MA, 02360

Tel: (508) 746-5060   Fax: (508) 746-8060