Medication Review Form

Description

An example medication review form that was utilized in a program that delivered medication therapy management via videoconferencing to a geographically dispersed, high-need patient group with significant linguistic and cultural barriers to care.

Audience

Pharmacy consultants, technology program designers and managers, and field personnel (e.g., community health workers).

Helpful Tips

Note that the form collects information about prescription medications as well as over-the-counter (OTC) drugs and medications that may be utilized by a non-American born population group, in this case Cambodian-born Americans.

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