Get Pharmacistphysician Communication Form

The PHARMACIST/PHYSICIAN COMMUNICATION FORM is an essential tool for facilitating effective communication between pharmacists and physicians regarding patient care. This guide provides a step-by-step approach to filling out the form online to ensure clear and accurate information is conveyed.

Follow the steps to complete the form accurately and effectively.

1. Click the ‘Get Form’ button to obtain the PHARMACIST/PHYSICIAN COMMUNICATION FORM and open it in the online editor.
2. Fill in the date when the form is being completed in the designated space.
3. Enter the patient’s name clearly in the appropriate field.
4. Specify the pharmacist's name in the designated section.
5. Provide the room or hospital number along with the extension number.
6. For section 1, titled Dosing Regimen Change, list the current drug regimen along with the recommended drug regimen in the specified areas. Indicate any adjustments that are needed based on renal function or other relevant considerations.
7. In section 2, Antibiotic/C&S Report Monitoring, include the date of the culture and sensitivity report and fill in details regarding the site, organism, and sensitivity. Indicate whether changes in antibiotic therapy are necessary.
8. Section 3 is for Potential Drug Interaction. Provide any pertinent information regarding potential drug interactions that need to be addressed.
9. In section 4, Miscellaneous Communication, describe any other relevant communications or notes that need to be conveyed.
10. Once all sections are completed, save your changes. You can then download, print, or share the form as needed.

Start completing your PHARMACIST/PHYSICIAN COMMUNICATION FORM online today!