Charts and forms
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Formulary recoding application form (Appendix D) - Nov 20
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Formulary medicine request form (Appendix C) - Nov 20
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Drugs and therapeutics group outcome decision form (Appendix H) - Nov 20
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Unlicensed medicine triage form (Appendix G) - Nov 20
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Named-patient medicine request form (Appendix E) - Nov 20
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Authority to carry stock medicines by pharmacy staff – Nov 20
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GP medication letter - Jul 20
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Lithium monitoring and patient information booklet - Jun 20
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End of life prescription chart - May 20
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End of life administration chart - May 20
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Insulin administration, checklist to assess the competence of healthcare assistants being the second checker - Apr 20
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Medication Consent Form, ChYPs, adolescents or parents - Dec 19
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Acuphase observation chart - Mar 19
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Valproate, annual risk acknowledgement form for women and girls of childbearing potential and girls who are pre-menarchal - Mar 19
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Rapid Tranquillization algorithm for patients with dementia - Jan 19
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Rapid Tranquillization Observation Chart - Jan 19
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Lurasidone, new patient notification form - Jan 19
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Antipsychotic high dose monitoring form - black & white version - May 19
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Valproate MHRA Patient and Healthcare Materials - May 18
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Refrigerator and clinic room temperature monitoring form - Nov 17
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Melatonin prescription and dispensing record - Feb 17
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Melatonin delivery preference form - Feb 17
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Metformin, information for GPs on its use with antipsychotics - Dec 16
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Anticholinergic burden scale (SLAM) - 2016
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Filgrastim community prescription and administration chart - Dec 16
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Rapid Tranquillization - Broset Violence Checklist - Jun 16
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Rapid Tranquillisation Algorithm for children and adolescents aged 12-17 years - Jan 19
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Rapid Tranquillisation Algorithm for patients with learning disabilities - Jan 19
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Rapid Tranquillisation Algorithm for patients aged over 65 (excluding dementia) - Jan 19
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Rapid Tranquillisation Algorithm for working age adults - Jan 19
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Antimicrobial Prescribing Checklist for bedded units - Feb 20
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Dementia, medicines discharge letter template - CWS - Worthing locality - May 16
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Dementia, medicines discharge letter template - CWS - Chichester locality - May 16
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Controlled Drugs shedule 4, poster on what they are and how to destroy them - Sep 16
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Methylphenidate XL, changing from ConcertaXL to Xaggitin XL , an information sheet for patients and parents (CAMHS) - July 19
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Insulin Drug Chart - v4 - Nov 17
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Clozapine Community Initiation Multipurpose Monitoring Chart - Dec 15
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Clozapine Community Initiation Chart (bespoke or restart titration) - Dec 15
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Clozapine Community Initiation Chart (standard titration) - Dec 15
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LUNSERS including scoring card for staff - Sep 15
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Medication use form, LDS - carer's version - Aug 15
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Patients Unwanted Medicines Disposal, letter for community pharmacists - May 17
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Lurasidone for bipolar depression, an information sheet for GPs – Jan 19
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Glasgow Antipsychotic Side-effect Scale for patients on clozapine (GASS for clozapine) – Jan 18
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Self administration, patient risk assessment and decision form – Jun 16
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Self administration, patient consent form – Jun 16
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Self administration, patient aide memoire – Jun 16
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Self administration, assistance sheet – Jun 16
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Prescribing following assessment or treatment in the private healthcare sector
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Patients own medication checklist for nurses - Jan 18
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Oral anticoagulation chart, warfarin - Apr 19
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One stop dispensing risk assessment form - Apr 19
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New drug or new indication - named-patient request - Apr 19
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New drug applicationfor the addition of a new drug to the Trust Formulary - Apr 19
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Named-patient medicine additional patients request form (Appendix F) - Nov 20
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Mood disorder questionnaire
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Medicines security and safe handling weekly checklist - Nov 16
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Medicines security and safe handling quarterly checklist - Nov 16
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Medication Use Form, WAMHS- carers version - Aug 15
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Medication Use Form, OPMHS - carers version - Aug 15
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Medication Consent Form, WAMHS - patient version - Aug 15
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Medication Consent Form, OPMHS - patient version - Aug 15
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Long acting antipsychotic injection, community prescription v9 - Nov 20
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Good sleep guide – June 11
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Glasgow Antipsychotic Side-effect Scale questionnaire (GASS) - Jan 18
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Dementia - carer completed behavioural symptom recording form - Aug 12
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Dementia - carer completed behavioural symptom recording form (incs a completed sample)
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Daily self administration, progress record stages 1 & 2 – Jun 16
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Daily self administration progress record – stage 3 – Jun 16
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Covert administration of medicines form - Oct 19
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Controlled drugs stock checking record form - Apr 15
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Clozapine, an initiation letter for GPs - Mar 14
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Clozapine, patient prescription and dispensing record - Jul 20
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Clozapine in-patient titration chart (slow titration) - Dec 15
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Clozapine in-patient titration chart (quick titration) - Dec 15
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Clozapine in-patient titration chart (normal titration) - Dec 15
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Clozapine Aide Memoire for GPs - Mar 18
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Authority to carry stock psychotropic oral medicines - Nov 20
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Authority to carry stock injections by community nurses - Nov 20
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Authority for prescribers to hold FP10s - Aug 19
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Antipsychotic high dose monitoring form - coloured version - May 19
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Dementia - Antipsychotic prescribing for people with dementia - medication review by GPs - Jan 18
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Dementia - Antipsychotic prescribing for people with dementia - initial assessment by GPs - Jan 18
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Antipsychotic monitoring form for CAMHS - Apr 18
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Antipsychotic audit of patients on antipsychotis with no diagnosis relating to a licensed indication other than dementia - Aug 12
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Antipsychotic audit of patients diagnosed with dementia on antipsychotics - Aug 12
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Alcohol detoxification chart - Diazepam (with CIWA on reverse) - Jan 20
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Alcohol detoxification chart - Chlordiazepoxide (with CIWA on reverse) - Jan 20