Patient Instructions and Patient History Forms (Revised 12/2003) This is a web demonstration project to assist pharmacists in mulilingual translations of patient prescription instructions and patient history. An older version of this demonstration was developed in March 2002, and the older forms can be found here. English to Chinese [ Patient Instructions ] [ Patient History ] [ Notes ] [ Side Effects ] English to Cambodian/Khmer [ Patient Instructions ] [ Patient History ] [ Notes ] [ Side Effects ] English to Korean [ Patient Instructions ] [ Patient History ] [ Notes ] [ Side Effects ] English to Samoan (presently not available - see older version) [ Patient Instructions ] [ Patient History ] [ Notes ] [ Side Effects ] English to Vietnamese [ Patient Instructions ] [ Patient History ] [ Notes ] [ Side Effects ] The forms are available for download as printable PDF documents in the following languages. Note: The forms were revised and modified on12/2003. An older version of these forms created in 3/2002 can be found here, but there may be errors present that were corrected in this version. [ English ] [ Chinese ] [ Khmer ] [ Korean ] [ Samoan ] [ Vietnamese ] Note: If you do not have Adobe Acrobat Reader on your computer, you will need to download and install this software to view the PDF files. It is available for free online. Make sure to install the Asian fonts.