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How to use or fill out moh jmwp-contentuploadsPHARMWATCH MINISTRY OF HEALTH DRUG MONITORING FORM
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Click ‘Get Form’ to open it in the editor.
Begin with Section A: Patient Details. Fill in the patient's initials, gender, date of birth, ethnicity, weight, and height. Ensure all fields are completed accurately.
Move to Section B: Suspected Drug Event. Check all applicable outcomes attributed to drug use and describe the event or problem in detail. Record the start and end dates of the event.
In Section C: Drug Information, provide the name of the suspected drug along with relevant history, dosage, route, indication, and batch number if known. Repeat for any other drugs taken.
Complete Section D: Reporting Health Professional Information by entering your profession, name, address, telephone number, fax number, and email. Don’t forget to sign at the bottom.
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