Get Fish Pond Surgery Center Medication Reconciliation Form Check All Sources Of Information: M Patient

Filling out the Fish Pond Surgery Center medication reconciliation form is essential for ensuring accurate medication management before your procedure. This guide provides clear, step-by-step instructions to help you complete the form effectively and efficiently online.

Follow the steps to fill out the medication reconciliation form accurately.

1. Locate the form by clicking the ‘Get Form’ button to download it and open it in your preferred document viewer for editing.
2. In the section labeled 'Check all sources of information,' mark the relevant sources that apply to your situation: 'M Patient,' 'M Significant Other,' 'M Caregiver,' 'M Rx Bottle,' or specify 'M Other' with additional information.
3. For allergies and sensitivities, list any known allergies in the designated fields. Provide the name of the allergy or intolerance in the first column and detail any reactions experienced in the second column.
4. Fill out the 'Medication(s) prior to admission' section by entering the medication name, dosage, and frequency for all medications you currently take. This should include prescriptions, over-the-counter medications, and herbal products.
5. In the section titled 'Medication stopped prior to procedure(s)?', indicate whether you have stopped any medications. If yes, specify the stop date.
6. Answer whether to resume medications after the procedure by indicating 'M Resume all medications today' and specifying the resume date if applicable.
7. For the medication discharge instructions, note if you will receive a new prescription or samples, along with the respective dose, route, and frequency for each medication.
8. Finally, review the entire form to ensure that all sections are completed accurately. Save your changes and download or print the form if necessary for your records.

Complete your medication reconciliation form online today for a smoother surgical experience!