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Get the free Methadone Prescription Pad Order Form - College of Physicians ... - cpsbc

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BC METHADONE PROGRAM College of Physicians and Surgeons of British Columbia 300669 Howe Street Vancouver BC V6C 0B4 www.cpsbc.ca Telephone: 6047337758 ext. 2628 Toll Free: 18004613008 (in BC) Fax:
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How to fill out methadone prescription pad order

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How to fill out methadone prescription pad order:

01
Obtain a methadone prescription pad order form from a licensed healthcare professional or pharmacy.
02
Fill in the required information on the form, including the patient's name, date of birth, and contact information.
03
Provide the healthcare professional's name, address, and contact information.
04
Indicate the dosage and frequency of methadone medication prescribed.
05
Include any special instructions or additional information necessary for the prescription.
06
Sign and date the prescription pad order form.
07
Make a copy of the completed form for your records.
08
Submit the methadone prescription pad order form to the appropriate pharmacy or healthcare provider.

Who needs a methadone prescription pad order:

01
Individuals who require methadone treatment for opioid addiction or chronic pain management may need a methadone prescription pad order.
02
Healthcare professionals, such as doctors or nurse practitioners, who are authorized to prescribe methadone as part of their practice may need a prescription pad order to dispense the medication.
03
Pharmacists who are responsible for dispensing methadone prescriptions may need a prescription pad order to ensure the proper supply of medication is provided.
Note: It is important to consult with a healthcare professional or pharmacy to understand the specific requirements and regulations regarding filling out a methadone prescription pad order.
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Methadone prescription pad order is a form used to prescribe methadone, a medication used to treat opioid addiction.
Healthcare providers who are authorized to prescribe methadone are required to file a prescription pad order.
To fill out methadone prescription pad order, healthcare providers need to include patient information, dosage, instructions, and their prescribing information.
The purpose of methadone prescription pad order is to ensure proper documentation of methadone prescriptions and to track usage of the medication.
Information such as patient name, date of birth, dosage, frequency, provider's name, DEA number, and signature must be reported on methadone prescription pad order.
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BC V6C 0B4 YYYY rxpadscpsbc CPSID cpsbc ext METHADONE Howe Surname Physicians Vancouver

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