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Oatlogs For Pharmacies
Triplicate Prescription Writing Template
Emergency Fax Controlled Prescription
Patient Management Software
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OAT Part-Fill Logs Methadone | Kadian | Suboxone
Customized OAT Part-Fill Accountability Logs.
Downlaod empty sheet
Oat custom form
Patient Name
Drug
*
Select Drug
Witnessed
Delivery
Street Address
City
Rx Number(s)
Single Daily Dose
Chainging Dose
Prescription Start Date
*
Tuesday
End Date
*
Tuesday
Total Daily Dose
(mg)
Number of Days Authorized
Add
End Date
*
Total Quantity On Prescription
*
Total Number Of Days
Every day
Every Two day
Every Third day
Every Fourth Day
Alternative days
Carries
* Please Select the days for patient to witness
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Carry every input days
Additional Options
These additional options can be used as needed
Split Dose
DWI Both
AM Dose
*
PM Dose
*
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