Power Point Pharmacy..

Rx E-Log

TM

Evaluate Our Full Version Program For 30 Days Call Medi-Ez, Inc. For Details 815-838-8885

Pharmacy Picks Payor

Touch Pen Here For Additional Payors

Print Patient’s Name Previous Patient-> Will Not Require A Privacy Policy

Tap Electronic Pen To Initial Of Last Name

Print Prescription Numbers

Touch Pen Here To Add Additional Prescriptions

Additional Screens For More Prescription Numbers A Third Screen Is Available If Necessary

Touch Pen Here For Additional Payors

Ask Patient About Counseling and Easy Off Caps

Patient Signs For Prescriptions

Ask Patient If They Have Received Your Privacy Policy

Touch Pen Here If Patient Has Previously Received Privacy Policy

Pharmacy Picks Payor

Print Patient’s Name New Patient-> Will Require A Privacy Policy

Tap Electronic Pen To Initial Of Last Name Necessary To Sort Reports By Last Name

Print Prescription Numbers

Ask Patient About Counseling and Easy Off Caps

Patient Signs For Prescriptions

Ask Patient If They Have Received Your Privacy Policy

Touch Pen Here If This Is a New Patient Who Has Not Received Privacy Policy

Patient Acknowledges Receiving Your Privacy Policy

Touch Pen Here If Patient Refuses To Sign

For Privacy Policy Only. Must Obtain DOB/PIN This Is Required To Retrieve Signature At A Later Time

This Can Be The Last Four Digits Of SS #

Signature Pad Recycles Waiting For New Input

Document Pseudoephedrine and Controlled C-V

Print Medication

Print Medication Quantity

Tap Electronic Pen To Initial Of Last Name Necessary To Sort Reports By Last Name

Print Patient’s Name

Print Patient’s Address

Print Patient’s Birth Date

Pharmacist Signature

Signature Pad Waiting For New Input

Print Report

Hipaa Sig.

3 Sets Of Rx Numbers

Report Includes All Payors/Hipaa

Single Payor Report All Payors “AARP”

Report Includes Payor/Hipaa for a Single Payor

Hipaa Signature Only

Hipaa Signature Verification Report

Date Report Printed

Date Of Acquired Signature

Individual Hipaa Acknowledgement

Date Patient Signed For Prescriptions

Payor Acknowledgement For All Payors

Single Payor Report All Payors “AARP”

Payor Acknowledgement For A Payor Acknowledgement Single Payor For A Single Payor

Pseudoephedrine/Controlled C-V Report

Rx E-Log

TM

**Pharmacist in Charge must check with all Federal and State regulations and 3rd Party Payors as to acceptance of Electronic Signatures and acceptable verbiage. 3rd Party verbiage is available upon request.**