Get Destruction Form

Filling out the Destruction Form online is an essential step in ensuring proper medication disposal. This guide provides clear instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Destruction Form online.

1. Press the ‘Get Form’ button to access the Destruction Form and open it in your preferred document editor.
2. Fill in the facility name and the date at the top of the form. Ensure that this information is accurate as it is essential for record-keeping.
3. Enter the resident's name in the designated field. This should be the full name of the individual for whom the medication is being disposed.
4. Select the reason for destruction or disposition from the provided options. Check the appropriate box for: Medication discontinued, Medication expired, Resident discharged, Resident deceased, or other. If you select 'other,' please provide a brief description.
5. Indicate the method of destruction or disposition by checking one of the options: Rendered useless, Biohazard container, Resident discharged with meds, or other. Again, specify if you select 'other.'
6. Complete the RX number and dispense date fields, making sure they are accurate and correspond to the medication being disposed.
7. Provide details about the medication including its strength and quantity being disposed of. Ensure that the quantity is exact to maintain proper records.
8. Leave adequate spaces for witnessing signatures. Two individuals must sign to confirm the destruction, including their names, titles, and the date of witnessing.
9. Once all fields are filled out accurately, review the form to ensure completeness. Save the changes made, and download or print the form as necessary. You may also share it as required.

Complete your documents online today for efficiency and accuracy.