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NALOXONE USE FOLLOWUP QUESTIONNAIRE 1. Client Name: 2. Date: 3. Drug Service name: 4. Key worker name: A. DEMOGRAPHICS 5. Age: years 6. Gender: female male 7. Marital status: Single Separated Cohabiting
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Individuals who have been prescribed naloxone or who are responsible for its administration may need to fill out this document.
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The dr nigel modernnaloxonefollowup questionsdoc is a form used to follow up on patients who have been administered the medication naloxone.
Healthcare professionals who have administered naloxone to patients are required to file the dr nigel modernnaloxonefollowup questionsdoc.
To fill out the dr nigel modernnaloxonefollowup questionsdoc, healthcare professionals need to provide information about the patient, the naloxone administration, and any follow-up care provided.
The purpose of the dr nigel modernnaloxonefollowup questionsdoc is to track and monitor patients who have been administered naloxone for opioid overdose reversal.
The dr nigel modernnaloxonefollowup questionsdoc requires information such as patient demographics, naloxone dosage administered, date and time of administration, and any follow-up care provided.
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