Additional Information

Last updated December 11, 2021
Created December 11, 2021
Format PDF
Form Number https://forms.mgcs.gov.on.ca/dataset/e3ba8277-9e6c-4a6f-bd13-936ad6f36f4b/resource/43ceb25b-95c2-4ddb-ac75-c7cea871aa2a/download/4970-47e.pdf
Form File Identifier
Name English - 4970-47e - Diabetes Education Patient Take Home Summary
Form File Status
Description

The MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Diabetes Education Patient Take-Home Summary.

Language English
Functionality
Form File Content Type
Remark
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