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Download Medication Administration Record for Free. Page 1; Page 2 (4.2 based on 724 votes) Medication Administration Record (MAR). Put initials in appropriate box when medication is given. Generic Medical Records Release Form 35 Document(s) Medical History Form 12. Medication Administration Record for PRN’S SDS 0812B Page 1 of 2 (01/05) Resident: Physician: Date Hour Medication Reason Results Hour. Instructions A. Write initials in appropriate box at the time medication is given. Circle initials when medication is refused. State reason for refusal in the narrative. State reasons PRN is given.

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