Privileging - Clinical Pharmacist
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Check the boxes next to the privileges you seek.
History
Medication review
Administer immunizations
Order laboratory tests
Limited physical assessments inclluding vital signs, system review, external exams and auscultation with a stethoscope
Lipid clinic
Hepatits C Clinic
Asthma Clinic
Diabetes Clinic
Coumadin Clinic
Depression Clinic
Medical translation (enter language)
Any other privileges not listed here?
Comments/concerns:
I attest that I have appropriate training, competence, experience, and comfort level for each privilege requested:
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