Medication Questionnaire (Printable PDF)

$5.00

A structured medication history form to support safe, informed mental health treatment.

Understanding a client’s current and past medications is an important part of providing effective, ethical care. A Medication Questionnaire helps you gather clear, organized information about prescriptions, over-the-counter medications, supplements, and relevant medical history before or during treatment.

This form supports clinicians in identifying potential interactions, understanding symptom management, and coordinating appropriately with prescribers when needed. It also helps reduce intake gaps and keeps medication information consistent across your documentation.

The file is provided as a non-fillable PDF, designed for printing and physical completion. You can include it in your intake packet, use it during assessment, or provide it when updating clinical records.

A structured medication history form to support safe, informed mental health treatment.

Understanding a client’s current and past medications is an important part of providing effective, ethical care. A Medication Questionnaire helps you gather clear, organized information about prescriptions, over-the-counter medications, supplements, and relevant medical history before or during treatment.

This form supports clinicians in identifying potential interactions, understanding symptom management, and coordinating appropriately with prescribers when needed. It also helps reduce intake gaps and keeps medication information consistent across your documentation.

The file is provided as a non-fillable PDF, designed for printing and physical completion. You can include it in your intake packet, use it during assessment, or provide it when updating clinical records.