Patients and Families

Wallet Medication Card

It is always important that your child’s doctor, hospital or other health care provider have a complete list of medications your child is taking. A wallet medication card is the perfect tool for ensuring you have this information at your fingertips when needed.

Simply follow these easy steps:

  1. Print a Wallet Medication Card for each child.
  2. Fill out the information at the top of the form.
    • Emergency Contact – Write the name and phone number of the person who should be called in case of an emergency.
    • Allergies – List all allergies and reactions your child may have including allergies to medicines, food, latex or environmental elements.
    • Other Important Information – List any additional information you think a doctor or nurse may need to know when caring for your child. For example this section might include the name of your child’s pediatrician.
    • Date This Form Last Updated – Be sure to note the date each time the form is updated.
  3. Fill out the information at the bottom of the form. (All of the below information will be on the label of the medicine bottle or packaging.)
    • Start Date – Note the date your child began taking the medication.
    • Drug Name - Include all the medications that your child takes on both a regular and on an as-needed basis.
    • Strength – Note the strength of each medication.
    • Dose – Write how much of the medication your child takes each time.
    • Route – Note how the medication is administered – by mouth, injection, etc.
    • When does your child take this medicine? – Note how many times a day the medicine is taken and if it needs to be taken on an empty stomach or with food.
    • Reason – Include a brief explanation of why your child takes this medication.
  4. Place the card in your wallet or keep it with your child’s insurance card.
Last Update
February 17, 2009
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Last Update
February 17, 2009
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