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I have been given eszopiclone adequate time to study the information and find the information to be specific, accurate, and complete .
This medication consent is eszopiclone for a period effective immediately and not to exceed fifteen (15) months from the date of my signature .
The need for and lunesta vs zaleplon lunesta drug classification lunesta qtc eszopiclone australia lunesta reviews continued use of this medication will be reviewed at least quarterly by the Interdisciplinary Team .
The goal, on behalf of the client, will be eszopiclone to arrive at and maintain the client at the minimum effective dose .
Client – If Presumed Competent to Consent/Parent of Minor/Guardian (POA-HC) Relationship to Client Guardian (POA-HC) Staff Present at Oral Discussion Client / Parent of Minor / Guardian (POA-HC) Comments As parent/guardian (POA-HC) was not lunesta max dosage lunesta generic not working lunesta medication information side effects from available for signature, he/she was verbally informed of the information in this consent .
Obtained by – PRINT – Staff Name Written Consent Received Obtained from – PRINT – Parent eszopiclone / Guardian (POA-HC) Name .
eszopiclone 420(a)(2) DHS 134 . 03 & eszopiclone 94 . 61(1)(g) & (h) INFORMED CONSENT FOR MEDICATION eszopiclone Dosage and / or Side Effect information last revised on 08/16/2016 Completion of this form is voluntary . 31(3)(o) DHS eszopiclone 94 . DEPARTMENT OF HEALTH SERVICES Division of Care and Treatment Services F-24277 (09/2016) STATE OF WISCONSIN 42 eszopiclone CFR483 . 09 lunesta side effects reviews lunesta max dose lunesta elderly lunesta generic vs brand lunesta §§ 51 .
If not completed, the medication cannot be administered without a court eszopiclone order unless in an emergency .
This consent eszopiclone is maintained in the client’s record and is accessible to authorized users .

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