Medication Release Form Template for England and Wales

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Medication Release Form Template

I need a Medication Release Form Template for our private care home that covers multiple medications administered by our nursing staff, with specific emphasis on controlled substances and clear liability protection for our healthcare providers.

Document background

The Medication Release Form Template is essential documentation for healthcare providers in England and Wales, used when administering medication to patients in various settings. It ensures compliance with the Medicines Act 1968 and related regulations while protecting both healthcare providers and patients. The form includes crucial information about the medication, dosage, administration instructions, and patient consent, serving as both a legal record and a safety measure. This document is particularly important in situations where regular medication administration is required or when multiple parties are involved in patient care.

Suggested Sections

1. Patient Information: Full name, date of birth, contact details, NHS number of the patient

2. Medical Provider Information: Healthcare provider details, including name, registration number and contact information of the responsible medical professional

3. Medication Details: Comprehensive details of medication including name, dosage, frequency, route of administration and duration of treatment

4. Consent Declaration: Patient's explicit consent for medication administration and acknowledgment of risks and benefits

5. Release Statement: Legal release of liability statement and acknowledgment of voluntary participation in treatment

Optional Sections

1. Emergency Contact: Contact details for emergency situations, particularly relevant for high-risk medications or complex treatment plans

2. Alternative Decision Maker: Details of authorized representative for patients who lack capacity or are under 16 years of age

3. Special Instructions: Additional handling or administration requirements for medications with specific storage or administration needs

Suggested Schedules

1. Schedule A - Medication Information Sheet: Detailed information about the medication, including side effects, contraindications, and drug interactions

2. Schedule B - Administration Log: Template for recording medication administration dates, times, and healthcare provider initials

3. Schedule C - Emergency Protocol: Detailed steps to follow in case of adverse reactions or medical emergencies

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Elderly Care
Education
Sports & Recreation

Relevant Teams

Medical
Pharmacy
Legal
Quality Assurance
Administration

Relevant Roles

Medical Doctor
Registered Nurse
Pharmacist
Care Home Manager
School Nurse

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Let's create your Medication Release Form

Authors

Alex Denne

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