This form is to be completed by the carer and/or support worker responsible for administering medication to the client in the home environment.
By completing this form, you are confirming that you have reviewed the medication details authorised by the treating GP, that you understand the correct administration procedure, dosage and frequency, and that you are aware of any side effects to monitor.
Please complete one acknowledgement per client. If you have any concerns about the medication or administration procedure, do not complete this form - contact Brophy Family and Youth Services - Home Based Care team on 03 5561 8888 or the treating GP before proceeding.
