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Form Approved OMB No.: 09300298 Expiration Date: 03/31/2019National Minority SA/HIV Prevention InitiativeGROUP DOSAGE FORMInstructions: For each group program session, enter the Encounter Date and
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Group dosage form is a form used to report the total dosage of a medication administered to a group of individuals.
Healthcare professionals or facilities responsible for administering medication to a group of individuals are required to file group dosage form.
Group dosage form should be filled out by providing the total dosage of medication administered, along with the details of the individuals in the group.
The purpose of group dosage form is to track and document the total dosage of medication administered to a group of individuals for regulatory and record-keeping purposes.
The group dosage form must report the total dosage of medication administered, the details of the individuals in the group, and any other relevant information requested on the form.
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