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Addressograph / Label SASKATOON HEALTH REGION Saskatoon Saskatchewan NAME RUH SCH SPH Other MRN LIST OF MEDICATIONS PRIOR TO ADMISSION NOT AN ORDER FORM Page of Weight kg Estimate Actual D. O. B. Medication Name/Dose/Route/Interval/Special Directions Use more than one space if needed Comments Indication Reason for change at admission No Prescription Medication No Non-Prescription Medication No Herbal Medication No Samples No Study Medication No Specialty Clinic Medication e.g....
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