Record the initial and ongoing medication assessment information for purposes of care planning, medication monitoring and for patient/family education needs. To be a supplement to the "Medication Profile" item 3481/2P.

11.625 x 8.5, side stub, 11 x 8.5 (detached) 2-part carbonless snap set white original canary copy black ink printed one side 5-hole punched top and side wrapped in 100s