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MED-PASS:  The Fine Art of Document Design

The MED-PASS warehouse will be closed Friday, October 28, due to inventory. Orders received by 3 pm ET on Thursday, October 27, will ship as usual. All other orders will ship on Monday, October 31. We apologize for the delay.

Risk - Benefit Acknowledgement Form - 100/pack


Availability: In stock

Price: $31.00
  • Buy 5-9 for $27.75 each and save 11%
  • Buy 10 or more for $21.00 each and save 33%

Temporarily out of stock.  New inventory available beginning November 10, 2016. We apologize for any inconvenience. Backorders can be placed via the online store or by calling MED-PASS customer service at 800-438-8884.

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Created in response to the December 2006 changes to the Unnecessary Medications guidelines

Providing quality care for long-term care residents is greatly strengthened through multidisciplinary care planning. The new unnecessary medications regulations require that the facility clearly document that any medication (not just psychoactive medications) posing a risk to the resident has been appropriately evaluated and that benefits outweigh associated risk.

This 3-part, carbonless form provides a means to address any medication-related problem (MRP) identified (e.g. through input or documentation by medical, nursing, pharmacy or other disciplines as well as resident/family input) and provides a format for consensus and approval by care planning participants to assure that all parties are informed and agree with the multidisciplinary team‘s evaluation.

Size 8 1/2 x 11 1/2
Unit Package of 100
Other Info Handwritten
Number of carbonless parts 3
Hole Punch 5 holes left, 5 holes top

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