The People's Perspective on Medicine
Drug Safety Questionnaire + Medical History
Get critical information from your doctor or pharmacist. Download and print the free drug safety questionnaire, take it with you, and have the doctor or pharmacist fill it in.
Product
Description
Description
Our free drug safety questionnaire helps you get critical information from your doctor or pharmacist.
Download it from our store, print the questionnaire, take it with you, and have the doctor or pharmacist fill it out for each of your medications.
The second page has the Medical History form to share with your health care provider. Be sure to take it with you wherever you go, since you never know when you might need the information.
Shop With 100%
Confidence
Confidence
Flexible ShippingSelect the hassle-free shipping option that suits you, and get peace of mind by tracking your order all the way to your door.View Shipping Options
Easy ReturnsOur customers come first. If you are unsatisfied with your order for any reason, we will replace it or refund your money.Customer Satisfaction Guarantee
Secure ProcessingYour safety is our top priority. Our store is fully PCI compliant, meaning your experience is always 100% secureSecure Shopping Details
Product Reviews
Drug and safety questionnaire
I think this is a great tool and will be very helpful
Write a review
Thank you for sharing your thoughts about one of our products! Please focus on the product performance and quality. Please read our Privacy Policy and Terms of Use for more information about the review process.