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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  Attribution: 

  Vibrant Health Family Clinics
• 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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  Attribution: 

  Highland Family Medicine
• 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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  Attribution: 

  Highland Family Medicine