Medication Destruction Form. Click on the get form button to open the document and begin editing. A typed, drawn or uploaded signature.
DCO2
Apd 0800 (rev 11/17) you can get this document in large print, braille or a format you prefer. A typed, drawn or uploaded signature. Prescription drugs not taken with the client/resident upon termination of services or otherwise disposed of shall be destroyed in the facility by the administrator or designated representative and witnessed by one other adult who is not a client/resident. Web flush fentanyl patches down the toilet. Web a medication disposal form is used by pharmaceutical companies and distributors to record and dispose of old or expired medications. _____________________ date name of medication and dosage quantity destroyed method of destruction *see below medication discontinued by prescriber (yes or no) medication out of date (yes or no) initial # 1 initial # 2 name (print) / signature initials name (print) / signature initials Select the document you want to sign and click upload. Decide on what kind of signature to create. Web medication destruction record instructions: Web the best way to dispose of most types * of unused or expired medicines (both prescription and over the counter) is to drop off the medicine at a drug take back site, location, or program.
Web fill out medication destruction form in a few moments by simply following the instructions below: Click on the get form button to open the document and begin editing. A typed, drawn or uploaded signature. Select the document you want to sign and click upload. _____________________ date name of medication and dosage quantity destroyed method of destruction *see below medication discontinued by prescriber (yes or no) medication out of date (yes or no) initial # 1 initial # 2 name (print) / signature initials name (print) / signature initials The information collected on this form is necessary for dea registrants to record controlled substances destroyed in accordance with the controlled substances act (csa). Pharmaceutical companies and distributors use this free medication disposal form template to collect information on expired, recalled, and excess medications and dispose of them in a safe and secure manner. Decide on what kind of signature to create. Prescription drugs not taken with the client/resident upon termination of services or otherwise disposed of shall be destroyed in the facility by the administrator or designated representative and witnessed by one other adult who is not a client/resident. Web a medication disposal form is used by pharmaceutical companies and distributors to record and dispose of old or expired medications. Web medication destruction record instructions:
