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Client Name: DOB: Date Commenced:
Date
Comment (remember to call it in)
Initial
Codes
R = Client Refused
S = Too unwell to
have medication
N = Medication not
available
W = Medication
Withheld
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30
* If a code is used
please provide a
comment below
and call Bromilow
Ph# 07 5445 5676
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* Initial When given
Medication Task #
Monthly Medication Sheet
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People don’t believe what you tell them. They rarely believe what you show them. They often believe what their friends tell them. They always believe what they tell themselves. | Seth Godin