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Agency Schedule Detail

Authorization Number :  580-1246
Agency Series No. :  PHA-16C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description :   
Division :  DMHCOff
Vital Description : 
Section :  DMHCOff
Record Title :  Patient Medication Information Form
Revision :  1
Record Description :  (DMH-0241) Data sheet containing medical information on Central Pharmacy clients, including demographic data, allergies, etc.
Retention Period Retention Justification Media Code Method of Disposal
Retain until the dispensing pharmacist checks against patient profile, then destroy. Paper Shred

Approvals

Status Name Title Date
Approved Sue Slaughter Records Officer 3/14/2008 10:36:00 AM
Approved Michael Hardenbrook Record Administrator 3/17/2008 9:55:00 AM
Approved Martin Meeks State Auditor 3/24/2008 2:56:00 PM
Approved Fred Previts State Archivist 3/24/2008 4:51:00 PM

Notes

Date Reason User

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