Medication Inventory Form

In This Section

Topics

Medication Inventory Form

Author:	Dr. Robert Wright - Veterinary Scientist/Equine and Alternative Livestock/OMAFRA
Creation Date:	01 August 2005
Last Reviewed:	01 August 2005

NOTE: Some materials available here are in PDF (portable document file) format. To read them you need the FREE Acrobat Reader installed on your computer. The program is available for download (with installation instructions) at http://www.adobe.com/prodindex/acrobat/readstep.htm.

Medication Inventory Form - pdf - 84 kb

Page _____ of _______

Owner Name: ___________________________________________________________________________

Farm Name: ____________________________________________________________________________

Refrigerator temperature: _________C° or_______ F°

Legend

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

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)	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

| Top of Page |

For more information:
Toll Free: 1-877-424-1300
Local: (519) 826-4047
E-mail: ag.info.omafra@ontario.ca