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Instructions on page 4.) list of. Web result a universal medication form is a form template designed to gather standardized information about a. Provides your doctor(s) and others with a current. Web result a form to help you keep track of your medications, allergies, immunizations and medical history. Web result a form to record your name, address, phone number, birth date, immunization record, allergies, and. Web result this form helps you and your family members remember. Web result universal medication form. Web result this form helps you and your family members remember all of the medicines you are taking. (always keep this form with you.