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Table of Contents

  1. 8 Steps for Creating a Medical Prescription
  2. 6+ Sample Medical Prescription Templates
  3. 1. Medical Prescription Format Template
  4. 2. Free Medical Prescription Format Template
  5. 3. Free Blank Hospital Prescription Template
  6. 4. Dentist Medical Prescription Template
  7. 5. Blank Medical Prescription Template
  8. 6. Specialty Pharmacies Medical Prescription Template
  9. 7. Simple Medical Prescription Template

6+ Sample Medical Prescription Templates

There will come a time where medical professionals will be required to make a document that tells their patients what type of medicinal drug they are required to purchase and take. The document is called a medical prescription and this article will teach you how to properly make one.

8 Steps for Creating a Medical Prescription

Step 1: Provide Information the Patient

When making a medical prescription, you are going to have to place at least two identifiers which clarifies who exactly the patient is. The most common that you will see in any prescription would be the patient’s complete name and date of birth. You may also consider including things like the patient’s address and contact details if you deem it necessary.

Step 2: Provide Your Information

If you’re the person prescribing the medication, then you’ll need to put in your information. Include your full name, the address of your medical practice, and the phone number of your medical practice.

Step 3: Put in the Date of the Prescription

Some prescriptions must be filled within a certain time period. Even if there are instances wherein your prescription does not fall into that category, it is still important that you put in the date it was made. Make sure to place the exact month and day in which it was created.

Step 4: Display the “RX” symbol

“RX” is the symbol for “superscription.” You are going to have to include it into the document right before the instructions regarding how the medication should be taken. You will also need to include the inscription after the symbol. That is where you will have to include all of the information regarding the drug you are going to prescribe.

Step 5: State the Medication that Must be Purchased

When doing this, it is best that you use the generic, non-proprietary name of the drug instead of the name brand. You should only consider using the drug’s name brand if you feel that you specifically need to prescribe that specific one. Take note that that this could make the prescription more expensive to the patient.

Step 6: Include Other Details Regarding the Medication

You will need to include other details to ensure that the patient gets exactly what he/she needs. What you need to do is to mention the strength of the drug, the prescription amount, the number of permitted refills, the route, the dosage amount, frequency, and when to discontinue its usage.

Step 7: Consider Including the Diagnosis and any Special Instructions

When a medication should only be used on an “as needed” basis, then you are going to have to include the diagnosis which states why the medication needs to be taken by the patient. Also, if there are certain things that the patient needs to do while taking the medication, place special instructions at the bottom of the prescription.

Step 8: Sign the Prescription

The last thing that you will need to do as the prescriber is to sign the document. Just be sure to include your complete name and signature to ensure that the person who has to verify the prescription knows exactly who issued it.

6+ Sample Medical Prescription Templates

1. Medical Prescription Format Template

medical prescription format
Details
File Format
  • Google Docs
  • MS Word
  • Pages

Size: A4, US

Download Now

If you’re a medical professional and you need to prescribe someone the medicine needed for their ailments, then this is the template that you will want to download. With it, you should be able to make a prescription document where you can state important information such as the description of what medicine you’re suggesting or the name of the person who issued the prescription.

2. Free Medical Prescription Format Template

free medical prescription format 440x570
Details
File Format
  • Google Docs
  • MS Word
  • Pages
  • Editable PDF

Size: A4, US

Download Now

In the event that you are required to provide a patient with the prescription that he/she needs, then this is the template for you. Be sure to make use of either Microsoft Word, Google Docs or Apple Pages so that you may properly open and edit the template. Also, always check to see if it has all the information it needs before printing and delivering it to the patient.

3. Free Blank Hospital Prescription Template

free blank prescription template 440x570
Details
File Format
  • Google Docs
  • MS Word
  • Pages
  • Editable PDF

Size: A4, US

Download Now

When a patient in a hospital has been diagnosed with an ailment wherein he/she requires specific medicine in order to treat it, then that patient must be provided with something that allows him/her to purchase what’s needed. By downloading this template, one can make a prescription that should be able to do just that. Just be sure that it contains all the important information it needs such as the patient’s information and the description of the medicinal drugs that he/she has to purchase.

4. Dentist Medical Prescription Template

free dentist doctor s prescription template
Details
File Format
  • Microsoft Word
  • Pages
  • Editable PDF

Size: A4, US

Download Now

Those who have acquired the profession of dentists will often meet patients that may require certain medications in order to be fully treated. By downloading this template, one can create a medical prescription that points out the type of medication needed and other information such as who it’s meant for and what pharmacy to get the medication from.

5. Blank Medical Prescription Template

blank doctor prescription templateismp.org
Details
File Format
  • PDF

Size: 753 KB

Download Now

Should you find yourself in a situation wherein you are going to have to make a medical prescription immediately, then you’ll find that this prescription template is exactly what you need. With it, you can easily print out the document and then fill it up with all of the necessary information that will help the medical patient get exactly what’s required to treat his/her condition.

6. Specialty Pharmacies Medical Prescription Template

doctor prescription for specialty pharmacies free printablehcp.mirena-us.com
Details
File Format
  • PDF

Size: 99 KB

Download Now

There will be certain cases wherein a patient’s condition or ailment can only be treated by medicinal drugs that are only offered by special pharmacies. If you are in a situation where you have to provide the patient with a document that gives the patient authorization to purchase what he/she needs from a special pharmacy, then this is the template that you will need. Download it so that you can start making the prescription document that the patient will have to show.

7. Simple Medical Prescription Template

medical claims and doctore prescription for drugs downloadghc.org
Details
File Format
  • PDF

Size: 47 KB

Download Now

When the time comes that you need to provide the patient with a list of the recommended medicine that he/she needs to take for his/her diagnosed condition, then this is the template for you. With it, you can create a simple medical prescription document that you can easily fill up with all the information it needs.

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