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Facility Resources

Below is a list of currently available forms.

General forms are in both Micorsoft  Word format (.doc) and
Adobe reader format (.pdf).  Blank Medication Administration Records (MARS) are only available in the .pdf format, and do require Adobe Reader. If you do not have Adobe Reader you may click on the "Get Adobe Reader" icon below to open a new window to Adobe's site for a free download.

General Forms

Click on the file type you would like to open the form with. A new window will open and you can print out the form.

      

Medication Refill Orders           Word Document              .PDF

Medication Return Form            Word Document              .PDF

Pharmacy Communication       Word Document              .PDF

Patient Information Form           Word Document              .PDF

Informed Consent Form             Word Document              .PDF

HIPAA Notice                                 Word Document              .PDF

                               

  Medication Administration Records
(Blank)

MAR Form A-55           .PDF

MAR Form M-59          .PDF




Please visit our "Featured Facilities" page. If your facility has a website and would like to be included, please sumbit your request to:   info@batesrx.com

Bates Pharmacy & Medical Supply
3704 N Nevada
Spokane, WA 99207
Pharmacy: 509-489-4500
Medical Supplies: 509-489-7453
info@batesrx.com

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