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International Accreditation of Healthcare Facilities

Standards › Standard 38 › Forms

Form · SUB-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 38.2

Purpose

Records the individual plan, the medicines prescribed, the prescriber and the monitoring at each review.

How to complete

Checks

Check Entry
Goals and interventions Yes
Medicine, prescriber and review date Yes
Monitoring entries Yes
Plan agreed with person Yes

Evidence

Reference Note
E-009 Based on the WHO guidelines for the psychosocially assisted pharmacological treatment of opioid dependence (2009), the WHO Guidelines on HIV and harm reduction for people who inject drugs, and the ASF Ambulatory standard for addiction services.
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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References

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