Stopping medication

Section

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Stopping Repeat Medication

1. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

2. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

3. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

4. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

5. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

6. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

7. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

8. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

9. Item Description

Strength

Quantity

Reason for Stopping

Repeat Medication Stopped

10. Item Description

Strength

Quantity

Reason for Stopping

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Section

Stopping Repeat Medication

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped

Repeat Medication Stopped