Follow the steps to fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Consumer details' section, enter your medicare or DVA number, name, date of birth, address, contact number, and email address. Ensure all information is accurate as it will be used for your healthcare records.
3. In the 'Pharmacy details' section, input the name, address, contact number, and email address of your usual pharmacy.
4. In the 'Usual GP details' section, provide the name, address, contact number, and email of your general practitioner.
5. In the 'Pharmacist details' section, enter the pharmacist's name and their contact information.
6. In the 'Carer details' section, if applicable, include the name of your carer and their contact number.
7. Complete the 'Medicines list' section by detailing all current medicines, including prescription, non-prescription, and complementary medicines. Include the brand, strength, form, prescribed by whom, duration of therapy, frequency of administration, indication/use, and special instructions.
8. In the 'Allergies and adverse reactions' section, list any known allergies or adverse reactions to medications.
9. In the 'Action plan' section, identify issues from your interview and list agreed outcomes. Note the actions recommended to your GP or other healthcare providers.
10. For each issue, check the responsibility for review under the 'For consideration' section as applicable — it may involve the consumer, pharmacist, GP, or other healthcare providers.
11. Review all entries for accuracy and completeness. Once finished, you can save changes, download, print, or share the completed form as needed.

Start filling out the MedsCheck And Diabetes MedsCheck Consumer Report Template online today!