Patient materialsAction plans, brochures, team cards, welcome letters

  • Patient materials

    INR Instruction Sheet

    Learn about the INR protocol developed by one LEAP site. The INR, or international normalized ratio, is a measure of blood clotting time for patients on blood thinners such as warfarin. This one-page patient instruction sheet clearly directs the patient to either continue the current does or make specific changes.

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  • Patient materials

    Highland Family Medicine Controlled Substances Action Plan

    This planning document, from Highland Family Medicine in New York, outlines not only the steps the clinic was taking to continue to improve the plan, but also includes the site's controlled substance policy and the agreement that is discussed and signed by both the provider and the patient.

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  • Patient materials

    Patient Agreement for Use of Controlled Substances for Pain Management

    This two page form sets expectations for a patient initiating medications for pain, including consent for drug testing at the practice's discretion. It establishes who else is authorized to pick up narcotic prescriptions for the patient, and also serves as a record release agreement. It is to be signed by both the patient and the provider.

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