DRUM (Dispensing Review of Use of Medication)

Full Name*

Date of Birth*

Do you understand why you have been prescribed your medication and what it is for?*

Do you take your medication the correct way as stated on the label ?*

Are any of the medications you are currently prescribed causing you any problems ?*

Do you have any difficulties that affect how you take your medication? E.g. Problem swallowing, removing from container, inhalers etc*

Is there any medication on your repeat list that you are no longer taking and can be removed?*

Do you have any medication at home that you are no longer taking ?*

Do you have more than 4 weeks supply at home ?*

Is further action/help required with any of the above ?*

Comments

Honeypot*

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