PSYCHOTROPIC MEDICATION REVIEW 2025

1. Click ‘Get Form’ to open the PSYCHOTROPIC MEDICATION REVIEW in the editor.
2. Begin by entering the Resident Name and DOB at the top of the form. This information is crucial for identifying the patient.
3. Fill in the Date of request, Relevant Diagnoses, Facility, Phone #, and Fax #. Ensure all contact details are accurate for effective communication.
4. In the CURRENT MEDICATION ORDER section, list each medication along with its Dose and Frequency. Specify Symptoms Treated and if applicable, indicate how many times each PRN medication was used in the past 6 months.
5. Move to the BEHAVIOR / SYMPTOM UPDATE section. Document observed behaviors or symptoms and note how many episodes occurred in the last 6 months along with their duration.
6. Record any MEDICATION SIDE EFFECTS NOTICED to provide a comprehensive overview of the patient's response to treatment.
7. In the NEW PHYSICIAN ORDER section, indicate whether a dose reduction or new prescription is required. If stable, confirm that medications should continue as prescribed.
8. Finally, ensure that you sign and date at the bottom of the form before submitting it via fax.

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