Dispensing Review Use of Medications (DRUM) Form

As part of our continued commitment to our dispensing patients we annually review the use of repeat medication. If you are a dispensing patient and come under any of the following categories, please complete this form.

  • Patients who are taking four or more medications
  • Patients who are diabetic
  • Patients taking anti-coagulents (blood thinning medication)
  • Patients who have non oral medication eg. eye drops, ointments, injections etc

We would be grateful if you could answer this questionnaire on your medication and be as honest as possible so any problems can be identified and addressed if required.

This form is for patients who have their medication dispensed by the surgery and not the pharmacy.

Dispensing Review Use of Medications (DRUM) Form

Dispensing Review Use of Medications (DRUM) Form

Please use this date format: DD/MM/YYYY.