Regulation .06 Patient Information and Consent.

Obtain a paper or electronic consent form signed by the patient, or the patient’s legal guardian, that authorizes the pharmacist to administer the maintenance injectable medication;

Provide the patient, or the patient’s legal guardian, with a copy of the consent form for future reference upon request;

Provide the patient, or the patient’s legal guardian, and the authorized prescriber with a copy of the visit summary, including a written record of the maintenance injectable medication that was administered; and

Notify the patient of the need to attend any upcoming appointments the patient has scheduled with the prescriber for additional care.

Disclose their credentials on the consent form; and

Provide every patient with notification of the fee for service prior to administration.