Get Geriatric Outpatient Pharmacy Interview - Ctrsc Training Program

Filling out the Geriatric Outpatient Pharmacy Interview form is a crucial step in ensuring that people receive optimal medication management and support. This guide will provide clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete your form.

1. Press the ‘Get Form’ button to access the Geriatric Outpatient Pharmacy Interview form and open it in your preferred online editor.
2. Begin filling out the personal information section. This includes entering the person's name and last four digits of their social security number, age, gender, race, last visit date, and purpose of visit.
3. In the 'Patient's Thoughts' section, indicate why the person believes they are attending the appointment by providing context that reflects their understanding.
4. Evaluate the general appearance. Mark 'Yes' or 'No' for cane/walker, glasses, and hearing aids based on the user's observations.
5. Complete the social history questions regarding alcohol and tobacco use by selecting 'Yes' or 'No' as applicable.
6. In the medication adherence section, specify the refill method (phone or mail) and indicate if refills are typically on time by selecting 'Yes' or 'No'.
7. Confirm any allergies the person may have and record them in the designated area.
8. Address medication management by marking off whether the person arrives with medications, carries a medication card, and has a storage location for their medications.
9. Check off the various abilities related to medication administration, such as reading label instructions and having children at home.
10. For medication reconciliation, review each medication regimen and indicate any discrepancies, missed doses, and how they address missed doses.
11. List out any non-VA over-the-counter medications and additional medications the person uses, along with any known side effects.
12. Complete the OTC review of systems by circling the appropriate products for each health issue and listing their frequency and dosage.
13. Once all sections are filled out thoroughly, save the changes to the document. You can then download, print, or share the completed form as necessary.

Complete your Geriatric Outpatient Pharmacy Interview form online today to ensure comprehensive medication management.