Medication Inventory Form

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Medication Inventory Form

Author:	Dr. Robert Wright - Veterinary Scientist/Equine and Alternative Livestock/OMAFRA
Creation Date:	15 April 2002
Last Reviewed:	15 April 2002

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PDF Format - 84 kb

Page _______ of _____

Owner Name: ____________________________________________________________

Farm Name: _____________________________________________________________

Legend

I.M. - In the muscle
I.V. - in the vein
I.F. - in the feed
T - Targeted
S.Q. - Under the skin
O.R. - oral
I.W. - in the water
R - Routine
* - vet. script/off label use

Refrigerator temperature ______°C ______ °F

Name of Medication	Manu-facturer	Treated	Animal(s) (e.g. weaner)	Dosage (eg. 2mL/45 kg 1cc/10 lb, 2X/day or 200 g/t)	Route (see legend)	T/R	Significant Contrain- dications Cautions or Warnings	Storage on Farm (e.g. fridge, cupboard, etc)	With drawal (days)

Additional information:

_____________________________________________________________________

Reviewed and approved by (print) _______________on (Date) ____________ (sign)

________________________________ Owner/ Employee

and (print) ________________________________on (Date)_____________ (sign)

_______________________________________Veterinarian

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