Ready meds form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Facility Information' section. Enter the facility code, received date, and delivery date as required.
3. Select the appropriate packaging option: Bingo, Multipack, Dispill, or HOA. Then provide your name, phone number, address, fax number, and email.
4. In the 'Resident Medical Information' section, input the resident's last name, first name, date of birth, MI, social security number, and gender. Document any chronic conditions and allergies.
5. Complete the 'Physician Info' section by entering the primary physician's name and contact details. If applicable, include information about previous pharmacies.
6. Fill out the 'Discharge Info' section with details about where the resident is discharging from and their current supply of medications.
7. Provide information for the 'Responsible Party / Payee Information' including their relationship to the resident and billing address.
8. Lastly, complete the 'Resident Insurance Information' section by entering insurance company details and attaching copies of insurance cards if necessary.

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