Please list all of the medications you are currently taking, including the dose and daily times
Please list all of the supplements, over-the-counter and herbals that you are currently taking, including the dose and daily times.
Please list all of your allergies to include medications, foods, additives and insect stings… Also, include the reaction (mild, moderate, severe) and type (rash, vomiting, anaphylaxis) to each source.