FREE 9+ Medical Prescription Samples in PDF | MS Word

Only authorized professionals or other qualified health care practitioners can provide a medical prescription, most especially when prescribing medicine or drugs. A medical prescription or a doctor’s prescription is a form of doctor’s order that specifically refers to providing medication to a patient or having a particular laboratory examination done on the patient. The very reason why only physicians and medical professionals are allowed to provide such prescription is because they are learned professionals and they can ensure the safety of the patient to whom the prescription is for. Prescriptions vary from one individual to another. Here are some prescription samples that you may want to check out.

Medical Prescription Samples

1. Patient Medical Prescription Sample

This sample patient medical prescription is a mail order form used by the Department of Veterans Affairs. The first page of this sample consists mainly of instructions and important information on the proper use of the form as well as the appropriate process to follow for mail-order prescription orders. This sample makes a good reference material or you can also use it as your own. Just make the necessary changes to the document and you should be good to go.

2. Medication Prescription Sample and Workbook

Physicians and other health care practitioners learn how to make and use medical prescriptions before they actually go about issuing prescriptions to their patients. A good tool to use would be this medication prescription sample and workbook. It’s not only a sample, you can also learn quite a lot of things with the workbook included in it. There are activities in every lesson that can help you asses or evaluate what you have learned about medical prescription. This makes a perfect review material for practicing professionals, especially those who are new to the field of medicine.

3. Sample Patient Profiles and Prescriptions

In this sample, you will clearly understand the reason why such prescriptions were given to a patient. It is because it not only gives the prescription, it also provides the patient’s profile and their specific health conditions. There are two sample profiles included in the sample and they make a great reference not only for learning how to write prescriptions, but also helps in writing short case study reports for students.

4. Sample Prescriptions and Medication Orders

Even if we are humans who are bound to make mistakes, physicians and health care practitioners should never commit any mistakes while taking care of their patients, especially when it comes to carrying out medication orders. It could be fatal to the patient and cause their death. The sample prescriptions and medication orders provides different medication prescription samples, as well as basic information about certain medications, precautionary measures, tips and warnings on the proper handling of medication to ensure safety. This will help you avoid any unwanted medication errors and accidents.

5. Doctor Prescription for Health Insurance

Aside from a patient’s medical chart and doctor’s note, a doctor prescription is also one of the necessary documents required when filing a health insurance claim. The sample above is one of the many health insurance claim samples being used by insurance companies today. All of the patient’s details are gathered in the first page of the prescription form, while detailed instructions on the use of the form and the prescription drug claim information are found on the second page. This is a neat and detailed sample you sure would want to check out.

6. Sample Veterinary Medical Prescription

Veterinarians are doctors for animals and they are the people who are authorized to prescribe or give medication to our furry friends or any animal that needs their help. The prescription sample above is exactly what a prescription for animals looks like. Just like the prescription for humans, personal information about the animal is gathered and recorded in this form. A total of two medications can be prescribed in one form, but if more than two medications are needed, the sample form can be reproduced as instructed. If you need something like this for your pet clinic, this sample form would be a good choice.

7. Medical Claims and Doctor Prescription

You submit a medical claim to your health insurance provider if you want to get reimbursed for the medical bills that you have paid for. However, not all medical bills can be reimbursed. To get a reimbursement for both medical services rendered and rug prescriptions, one must fill out this medical claims and doctor prescription. The sample form uses a generic layout common to a lot of forms used in hospitals and other health care facilities. Steps and instructions on its proper use are provided in detail throughout the form so that only the required information is provided. Another similar example would be a Medicare claim form.

8. Individual Physician Prescription Sample

Physicians who are not working under any hospital and prefer to have a separate clinic of their own use an individual physician prescription, just like the sample you see above. The heading of the prescription shows the physician’s name and the name of his/her clinic, instead of the hospital’s name. Just like other prescription papers, the patient’s name, address, gender, and age are required to complete the form. This sample is very useful for those who want to make their own personal physician prescription.

9. Universal Medication Doctor Prescription Form

This universal medication doctor prescription form is very useful as it can be used as reference by different doctors during emergency situations, regardless if they personally handle the patient or not. Patients with emergency health conditions are required to carry this piece of document at all times. The sample shown above is just one of the many samples that you can use as reference or as your own.

10. Sample Doctor Prescription for Specialty Pharmacies

A doctor prescription for specialty pharmacies is used so that patients can get special prescribed medications at no cost. This requires that they disclose personal health information, that is why it is important that patients are made aware of this before filling out the form. It’s a detailed sample you surely would want to use.