Get the free HOME MEDICINES REVIEW - REFERRAL FORM

HOME MEDICINES REVIEW REFERRAL FORM Provider/Patient details may be completed by the practice staff COMMUNITY PHARMACY DETAILS: (nominated by the patient) Name:. PATIENT DETAILS: (or affix label with

How to fill out home medicines review

How to fill out a home medicines review:

1. Gather all your prescription medications, over-the-counter medications, vitamins, and herbal supplements.
2. Make a list of the names of each medication, the dosage, and the frequency you take them.
3. Include any specific instructions or precautions for each medication.
4. Write down any concerns or side effects you may have experienced with each medication.
5. Consider any changes in your health condition or any new symptoms you have noticed recently.
6. Schedule an appointment with your healthcare provider or pharmacist to discuss your home medicines review.
7. During the appointment, share your list and discuss any concerns or issues you have with your medications.
8. Listen to any recommendations or suggestions from your healthcare provider or pharmacist.
9. Follow any instructions provided to adjust your medication regimen if necessary.
10. Keep your list updated and inform your healthcare provider or pharmacist of any changes in your medications.

Who needs a home medicines review:

1. Individuals who are taking multiple medications.
2. People with chronic health conditions.
3. Patients who have recently been discharged from the hospital and have new medications.
4. Older adults who may have difficulty managing their medication regimens.
5. Individuals who are experiencing side effects or medication-related concerns.
6. Patients who want to ensure their medications are optimized for their specific health needs.
7. Caregivers or family members responsible for medication management for someone else.

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