Common use of Prescription Forms Clause in Contracts

Prescription Forms. APRN shall sign and shall issue prescriptions/orders on a form which contains the following: a. The name, address, and telephone number of the delegating physician b. The name of the APRN and the APRN’s DEA number (if applicable) c. The name and address of the patient d. The drug prescribed and the number of refills e. Directions to the patient with regard to taking and dosage of the drug

Prescription Forms. APRN shall sign and shall issue prescriptions/orders on a form which contains the following: a. The name, address, and telephone number of the delegating physician b. The name of the APRN and the APRN’s DEA number (if applicable)number c. The name and address of the patientpatient if applicable d. The drug prescribed and the number of refills e. Directions to the patient with regard to taking and dosage of the drug

Prescription Forms. APRN shall sign and shall issue prescriptions/orders on a form which contains the following: a. The name, address, and telephone number of the delegating physician b. The name of the APRN and the APRN’s AP DEA number (if applicable) c. The name and address of the patient d. The drug prescribed and the number of refills e. Directions to the patient with regard to taking and dosage of the drug