Medication Treatment Checklist



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MEDICATION TREATMENT EMERGENT EFFECTS CHECKLIST Client’s name: Date of assessment: // Assessor Drug(s) and dosage: Instructions: Fill out before initial medication use, and at least once a month during, and for 3 months after, medication use.. For items listing different or opposite events (e.g., “increased” or “decreased” appetite, circle the appropriate one.) Psychological 1, 2, 3 Gastrointestinal 1, 2, 3 1..




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