Dcfs.nv.gov
DIVISION OF CHILD AND FAMILY SERVICES
Controlled Substance Count
__________________________________________________________________________________________
Medication, Dosage, Frequency
_____________________________________ __________________________________
Client Name Month/Year
* Each count requires two signatures for verification.
|Date |Time | Staff Signature |Staff Signature |Count |Remarks |
|1 | | | | | |
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|2 | | | | | |
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|3 | | | | | |
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|4 | | | | | |
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|5 | | | | | |
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|6 | | | | | |
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|7 | | | | | |
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|8 | | | | | |
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|9 | | | | | |
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|10 | | | | | |
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|11 | | | | | |
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|12 | | | | | |
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|13 | | | | | |
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|14 | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
|Date |Time |Staff Signature |Staff Signature |Count |Remarks |
|15 | | | | | |
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|16 | | | | | |
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|17 | | | | | |
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|18 | | | | | |
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|19 | | | | | |
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|20 | | | | | |
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|21 | | | | | |
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|22 | | | | | |
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|23 | | | | | |
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|24 | | | | | |
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|25 | | | | | |
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|26 | | | | | |
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|27 | | | | | |
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|28 | | | | | |
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|29 | | | | | |
| | | | | | |
| | | | | | |
|30 | | | | | |
| | | | | | |
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