Allergies and Medications Form

If you have an upcoming appointment, fill out and print Sharp Rees-Stealy's handy Allergy and Medications Form — even if you're not a Sharp Rees-Stealy patient.

This form will let your physicians and/or clinicians know about all prescription medications, supplements, herbs, vitamins or over-the-counter medications you are currently taking. Having the most up-to-date information will assist us in our goal of providing you the very best medical care possible.

If you are a Sharp Rees-Stealy patient, you may now track all of your medications and allergies using mySharp™ — a free online resource to manage your health care and communicate directly with your doctor. Register for mySharp today.

Click the link below to download and print the form:

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