Form No: 15-3-33 MEDICINES DISPOSAL RECORD - GMP Systems 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Section A: SERVICE USER DETAILS. Enter the surname, first name(s), title, age at last birthday, date of birth, and service user reference. Ensure all fields are completed accurately for proper identification.
  3. Proceed to Section B: DETAILS OF MEDICINES RETURNED TO THE PHARMACY. Here, you will need to provide detailed information about each medicine returned. Fill in the name of the medicine, its strength, quantity returned, and the date it was returned to the pharmacy.
  4. In this section, ensure that both a staff member and a pharmacist sign off on the record. This is crucial for accountability and compliance with disposal regulations.

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Keeping records date of disposal or return to pharmacy. name and strength of medicine. quantity removed. person for whom medicines were prescribed or purchased. signature of the member of staff who arranges disposal of the medicines. signature of the person collecting the medicines for disposal.
This record should include the following information: the name of the patient the name, form and strength of the medicine the quantity of medicine destroyed the reason for destroying the medicine the date of destruction the method of destruction the signatures of the two members of staff destroying the medicine.
For medicines you dispose of in the trash, FDA recommends that you mix them with an unappealing substance such as dirt, cat litter, or used coffee grounds. Dont crush pills. Then place the mixture in a sealed plastic bag before throwing it away.

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