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Le Hardin Academy Adrian Allan, Headmaster 917 Kalanianaole Highway, Kailua, Hawaii 96734 t: 261-0707 f: 791-1518 www.lejardinacademy.org PRESCRIPTION MEDICATION PERMISSION FORM 2011-2012 Student
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What is prescription form 12?
Prescription form 12 is a document used to report prescription drug information to regulatory authorities.
Who is required to file prescription form 12?
Healthcare providers, such as doctors, pharmacists, and hospitals, are required to file prescription form 12.
How to fill out prescription form 12?
To fill out prescription form 12, healthcare providers must provide details about the prescribed medication, dosage, patient information, and their own contact information.
What is the purpose of prescription form 12?
The purpose of prescription form 12 is to monitor and regulate the distribution of prescription drugs to ensure patient safety and prevent abuse.
What information must be reported on prescription form 12?
Information such as the name of the prescribed medication, dosage, patient details, prescriber information, and date of prescription must be reported on prescription form 12.
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