NHS Dudley Health Economy Medicines Formulary
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Primary Care Referral form for a Medication Review

This service provides a comprehensive clinical medication review (to assess the appropriateness, effectiveness and safety of medication) by a Practice Based Pharmacist or Older Persons Specialist Pharmacist

Please complete the form below and either e-mail to dudley.medman@nhs.net (e-mail from an nhs.net account only) or fax to safe haven fax number: 01384 322415 for the attention of: Pharmaceutical Public Health Team.



Primary care referral form for a medication review
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