MCN’s customizable template, Self-Administration of Medication Release Form, is taken from our Behavioral Health Partial Hospitalization Program Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Self-Administration of Medication Release Form:

	SELF-ADMINISTRATION OF MEDICATION RELEASE FORM I understand that I am responsible to self-administer medications that I bring to the Partial Hospitalization Program, provided they will only be those prescribed by a licensed physician. I will bring to the program only those medications that I will need and use on any given day. I will not bring any nonprescription drugs or other chemical substance or alcohol to the program. Medication: Medication: Medication: Medication: Medication: Medication: SIGNATURES: Patient Signature: Witness Signature: Witness Title: Physician Signature:...
Second excerpt:
	... Witness Title: Physician Signature: Reference #3002 Partial...