Over-the-Counter (OTC) Sign-Out Sheet Template
Over-the-Counter (OTC) Medication Sign-Out Sheet TemplateCENTER NAME: LOCATION:DateTimeMedication Self-Selected(Dose and Quantity)Student Name (Print)Student SignatureStaff Name (Print)Staff SignatureNOTE: This form is intended to be used by designated non-medical staff and students for OTC medications or first aid items. File the information from this form in individual SHRs weekly on the SF-600. ................
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