Forms

The following is a list of standard pharmacy forms.

 
PAFF-1California Medi-Cal Drug List - Common Drugs
PAFF-2Care Plan Sticker - Antianxiety Drug
PAFF-3Care Plan Sticker - Antidepressant Drug
PAFF-4Care Plan Sticker - Antidepressant Drug - SSRI
PAFF-5Care Plan Sticker - Anti-Mania Drug
PAFF-6Care Plan Sticker - Antipsychotic Drug
PAFF-7Care Plan Sticker - Sedative-Hypnotic Drug
PAFF-8Care Plan Sticker - Stimulant Drug
PAFF-9Controlled Drug Inventory
PAFF-10Drug Storage Areas - QA Form
PAFF-11Emergency Drug Supply Listing
PAFF-12Facility Dose Times Chart
PAFF-13Intravenous Therapy Policies and Procedures
PAFF-14IV Medication Administration Record
PAFF-15IV Therapy Order Form
PAFF-16Medication Locator Card
PAFF-17Medication Orders
PAFF-18Medication Pass Observation - QA Form
PAFF-19Medications and Their Relationship to Meals
PAFF-20Medications Returned for Credit
PAFF-21Medications Which Should not Be Chewed or Crushed
PAFF-22Outside Pharmacy Alert
PAFF-23Pharmacy Hours & Delivery Schedule
PAFF-24Pharmacy Policies and Procedures Manual
PAFF-25Proper Technique for Use of Inhalers
PAFF-26Record Retention Schedule
PAFF-27Refrigerator Temperature Log
PAFF-28TPN Administration Record
PAFF-29Treatment Pass Observation - QA Form