Medication List Form Template

If you’re a healthcare professional, this medication list form template allows you to collect crucial data about your patient’s medication history and current treatment before their appointment. Digitize your onboarding workflow and make it easy and safe for the patient to share medical information while you can review it and access it quickly whenever necessary. You can easily customize this template with our secure form builder.

123FormBuilder / Form Templates / Medical Forms / Medication List Form

Start with this template

Available on a paid plan

Frequently Asked Questions

How do you keep track of medication?

Having a list of the patient’s medication can be a convenient way to keep track of medications. So instead of going through the entire list of drugs during the appointment, which can take a lot of time, send the patient a medication list form to fill out before the medical consultation. It will save you time, and you’ll be able to track the patient’s medical history more efficiently.

How do I create a medication list?

For starters, use our pre-designed medication list form template. You can access it in your 123FormBuilder account and immediately start editing it as you see fit with our user-friendly drag & drop builder. You don’t need any coding skills.

Customize template

Promote medication safety with a drug log based on this medication list form template. Naturally, the form fields are easy for anyone to add, modify or delete using a drag-and-drop editor. In addition, you have the option to keep the default colors and fonts or edit as desired. Go ahead and check out our vast variety of form options, we offer plenty of alternatives to suit anyone.

Publish template

Sharing is caring, no doubt about it, especially where healthcare professionals are concerned. This medication checklist form is ready to add to your website, share by email, or publish in your patient portal — just copy and paste, no other effort required. What’s more, the health care inventory is mobile-friendly, so it’s also easy to fill out on smartphones and tablets.

Collect & manage data

As soon as a patient or health care provider submits medical records via the form, the information is stored in an encrypted database. From there the results of the medication forms can be exported to formats such as Excel, CSV or PDF or analyzed in charts and graphs. In addition, upon request, you can upgrade your form to include HIPAA compliance.

Optimize processes

You don’t have to be a doctor or nurse to make use of this template! For example, as a patient you can name this template “My Medication List Form” and assign it to notify your primary care physician, specialists, dentists and pharmacists simultaneously. Fill out the current medication list form for each family member, then export to PDF and take it to appointments.

Grab this template now