Get Home Medication Assessment Physician Order Form - Csks Lexmednetwork

Filling out the Home Medication Assessment Physician Order Form - Csks Lexmednetwork online is an important step in ensuring a comprehensive medication review and continuity of care. This guide will provide you with clear, step-by-step instructions to make the process easy and efficient.

Follow the steps to complete the form accurately and effectively.

1. Press the ‘Get Form’ button to obtain the Home Medication Assessment Physician Order Form and open it in your editor.
2. Begin by entering the patient's name and date of birth at the designated fields at the top of the form.
3. In the 'Known Allergy & Reaction' section, list any known drug or food allergies. For each allergy, indicate if it is applicable by checking 'Yes' or 'No'.
4. If the patient has no known allergies, select the option that states ‘No Known Allergies’ or refer to the addendum for additional allergies if necessary.
5. In the 'Admission: Home Medication Assessment' section, select the appropriate checkbox that indicates the patient's medication status: 'Patient takes no medication', 'Patient takes no herbals', or 'Unable to obtain history'. Remember to include herbal, over-the-counter, and vitamin supplements.
6. In the 'In Hospital/Health Care Setting' section, check yes or no for each medication that should be continued during hospitalization. Provide details including the name and strength of the medication, dosing information, and route of administration.
7. Complete the last dose, frequency, date, and time sections for each medication as applicable.
8. Fill out the 'Home Medications Disposition' section by checking the appropriate source of information regarding the home medications.
9. Acknowledge that the Home Medication Assessment Form has been reviewed by the physician by signing and dating in the designated area.
10. Finally, ensure that clinical staff complete their sections by adding their signatures, dates, and times.
11. Upon completion of the form, you can save changes, download, print, or share the filled-out form as needed.

Take the next step in your documentation by completing and submitting the Home Medication Assessment Physician Order Form online.