Scribd Logo
Upload

Welcome to Scribd!

  • Medication Log

    Uploaded by

    jeffrey_king
    109 views1 page
    The document provides instructions for documenting prescriptions using required Department of Mental Health forms for initial medication support services, complex medication support services, and brief follow-up medication support services. It also states that some clinics may optionally use an additional form, the Medication Log, to document medications prescribed to clients for medication history reference purposes. The Medication Log form includes fields for date, medication name, dosage, frequency, route of administration, amount, and number of refills.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document provides instructions for documenting prescriptions using required Department of Mental Health forms for initial medication support services, complex medication support services, and brief follow-up medication support services. It also states that some clinics may optionally use an additional form, the Medication Log, to document medications prescribed to clients for medication history reference purposes. The Medication Log form includes fields for date, medication name, dosage, frequency, route of administration, amount, and number of refills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    109 views1 page

    Medication Log

    Uploaded by

    jeffrey_king
    The document provides instructions for documenting prescriptions using required Department of Mental Health forms for initial medication support services, complex medication support services, and brief follow-up medication support services. It also states that some clinics may optionally use an additional form, the Medication Log, to document medications prescribed to clients for medication history reference purposes. The Medication Log form includes fields for date, medication name, dosage, frequency, route of administration, amount, and number of refills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    MH 519

    Revised 06/29/08 MEDICATION LOG


    Prescriptions must be documented using one of these Department required Medication Support forms:
    • MH 657 Initial Medication Support Service (90862)
    • MH 653 Complex Medication Support Service (90862)
    • MH 655 Brief Follow-up Medication Support Service (M0064 or H2010)
    At clinics that choose to maintain medication history reference, physicians may use this OPTIONAL form as an
    additional place to document medications prescribed to a client.

    Route of # of
    Date Name Dosage Frequency Amount
    Admin Refills

    This confidential information is provided to you in accord with State and


    Federal laws and regulations including but not limited to applicable Welfare
    and Institutions code, Civil Code and HIPAA Privacy Standards. Duplication Name: IS#:
    of this information for further disclosure is prohibited without prior written
    authorization of the client/authorized representative to whom it pertains Agency: Provider #:
    unless otherwise permitted by law. Destruction of this information is
    required after the stated purpose of the original request is fulfilled. Los Angeles County – Department of Mental Health

    MEDICATION LOG

    You might also like