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Avert Controlled Substance Prescribing Agreement
The purpose of this agreement is to give you information about the medications you will be taking for your condition and
to assure that you and your
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How to fill out avera controlled substance prescribing

How to fill out avera controlled substance prescribing
01
To fill out Avera Controlled Substance Prescribing form, follow these steps:
02
Begin by entering your personal information, such as your name, contact information, and professional credentials.
03
Provide the patient's details, including their name, date of birth, and contact information.
04
Indicate the medication being prescribed, including the name, dosage, and instructions for use.
05
Include the reason for prescribing the controlled substance and any relevant medical conditions or history.
06
Specify the quantity and the number of refills allowed for the prescription.
07
In the event of electronic prescribing, verify that the prescription is sent to the appropriate pharmacy.
08
Make sure to sign and date the form before submitting it.
09
Keep a copy of the completed form for your records.
Who needs avera controlled substance prescribing?
01
Avera Controlled Substance Prescribing is needed by healthcare professionals who are authorized to prescribe controlled substances.
02
This may include physicians, nurse practitioners, dentists, and other licensed healthcare providers.
03
These professionals must comply with the legal requirements and regulations surrounding controlled substance prescribing.
04
By using Avera Controlled Substance Prescribing, healthcare providers can ensure accurate and secure handling of controlled substance prescriptions.
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