Physician Action Report - Drug Regimen Review - DIGITAL FORM
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UPDATED 2022
Physician Action Report - Drug Regimen Review provides a record of communication between the Pharmacist and the Physician with concerns following a drug regimen review.
This form provides for:
• Identification of clinically significant issues including drug, dose, frequency, route
• Detailed description of the Pharmacist's findings, concerns and recommendation(s)
• Physician comments and orders
A copy with the Pharmacist's report and corresponding documentation is kept on the resident's record with a copy mailed to the Physician. Upon receipt of the completed review by the Physician, that final copy is retained on the resident's record.
Download a Sample Today!
License Agreement
Send completed License Agreements toCustomerSupport@BriggsCorp.com
*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.
Briggs Digital forms:
-Updates included with annual subscription
-Form-fillable PDF documents at your fingertips
-Easy to complete on any device
UPDATED 2022
Physician Action Report - Drug Regimen Review provides a record of communication between the Pharmacist and the Physician with concerns following a drug regimen review.
This form provides for:
• Identification of clinically significant issues including drug, dose, frequency, route
• Detailed description of the Pharmacist's findings, concerns and recommendation(s)
• Physician comments and orders
A copy with the Pharmacist's report and corresponding documentation is kept on the resident's record with a copy mailed to the Physician. Upon receipt of the completed review by the Physician, that final copy is retained on the resident's record.
Download a Sample Today!
License Agreement
Send completed License Agreements toCustomerSupport@BriggsCorp.com
*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.
Delivery: Digital*
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.