Off site custody 2026

1. Click ‘Get Form’ to open the off-site custody document in the editor.
2. In the first field, enter your name as the responsible person for the medications.
3. Next, fill in the client's name in the designated area to indicate whose medications you are accepting.
4. Acknowledge that you have received instructions regarding administration and purpose by reviewing this section carefully.
5. Sign and date where indicated to confirm your acceptance of responsibility for the medications.
6. Ensure two staff members sign and date the form when releasing medications, followed by two staff members receiving them.
7. Complete the medication details including Rx number, physician's name, drug name and dose, administration times, purpose of drug, quantity released, and quantity returned.

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