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COMMUNITY MEDICATION ADMINISTRATION RECORD HEALTH RECORD No:___ SURNAME:___ FIRST NAME:___ ADDRESS:___DRUG ALLERGIES & SENSITIVITIES___PLEASE CIRCLE AS APPROPRIATE: NONE KNOWN YESDATE OF BIRTH:___SIGNED
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Find the care decisions community medication form.
02
Read the form carefully to understand the instructions.
03
Gather all the necessary information and documents required for filling out the form.
04
Provide your personal information including name, address, and contact details.
05
Specify the medication that you require for the community care.
06
Include any special instructions or allergies related to the medication.
07
Sign and date the form to validate your submission.
08
Submit the filled-out form to the appropriate authority as mentioned in the instructions.
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Keep a copy of the filled-out form for your records.

Who needs care decisions community medication?

01
Individuals who are part of a care decisions community program.
02
People who require certain medications to be administered in a community care setting.
03
Individuals who have been advised by their healthcare professionals to rely on community medication services.
04
Patients who are unable to self-administer medication and need assistance from care providers.
05
People who are transitioning from hospital care to community care and require ongoing medication.
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Care decisions community medication is a process where individuals make decisions regarding their medication needs within a community setting.
Individuals who require medication and reside in a community setting are typically required to file care decisions community medication.
Care decisions community medication forms can usually be filled out by providing personal information, current medication needs, and any specific instructions or preferences.
The purpose of care decisions community medication is to ensure that individuals receive the appropriate medication and care within a community setting.
Information such as personal details, current medication list, dosage instructions, and any known allergies or adverse reactions must be reported on care decisions community medication.
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