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OFFICE USE ONLYMedication / SupplementREQUEST FOR THE ADMINISTRATION OF PRESCRIPTION AND NONPRESCRIPTION MEDICATION, FOOD SUPPLEMENT, FLUORIDE SUPPLEMENT OR MODIFIED DIET. NOTE: A separate form must
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Medication supplement - mcguffey is a form used to report any additional medications being taken by an individual.
Individuals who are prescribed medication or supplements are required to file medication supplement - mcguffey.
Medication supplement - mcguffey can be filled out by providing information about the additional medications being taken, along with dosage and frequency.
The purpose of medication supplement - mcguffey is to ensure that healthcare providers have a complete picture of all medications being taken by an individual.
Information such as the name of the medication, dosage, frequency, and the name of the prescribing healthcare provider must be reported on medication supplement - mcguffey.
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