Medication Form

This form was created by study staff, and asks, “Does the participant currently take any medications routinely?” Study staff asks this question directly to the participant or to their parent, and records any medication endorsed. For reported medications, duration of use is asked and one of the following is chosen: < 3 months, 3-6 months, 6 months – 1 year, 1-2 years, 2-5 years, 5-10 years, > 10 years.

Domains Assessed: Background Information

Note: This is asked of all participants, ages 6-85 years old, and is administered during the time that Vitals are being obtained.

References: N/A