Patient Instruction and Patient History Forms (Older Forms - 3/2002) This is a web demonstration project to assist pharmacists in mulilingual translations of patient prescription instructions and patient history. This is an older version of the forms that were developed in 3/2002. A more recent version can be found here, but Samoan is presently not available. English to Chinese [ Patient Instruction ] [ Patient History ] [ Side Effects ] English to Cambodian/Khmer [ Patient Instruction ] [ Patient History ] [ Side Effects ] English to Korean [ Patient Instruction ] [ Patient History ] [ Side Effects ] English to Samoan [ Patient Instruction ] [ Patient History ] [ Side Effects ] English to Vietnamese [ Patient Instruction ] [ Patient History ] [ Side Effects ] The forms are available for download as printable PDF documents in the following languages. This is an older version of the forms that were developed in 3/2002. A more recent and modified version can be found here, but Samoan is presently not available. [ 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.