Providers > Medication Forms

Medication administration forms incorporated by Rule 65G-7, Florida Administrative Code.

• APD Form 67G7
  Medication Administration Record 2
• APD Form 65G7-00
  Medication Administration Record (MAR)
• APD Form 65G7-01
  Authorization for Medication Administration
• APD Form 65G7-02
  Informed Consent for Medication Administration
• APD Form 65G7-03
  Medication Administration Provider/Course Approval Form
• APD Form 65G7-04
  Validation Certificate
• APD Form 65G7-05
  Medication Error Report (MER)
  
  

  APD Form 65G7-05e (MER Electronic Version)
  Note: You must use secured encrypted email when submitting this form via email. You may use the APD Secure Messaging Portal to submit and receive sensitive information, including this form.

• APD Form 65G7-06
  Medication Destruction Record
• APD Form 65G7-007
  Controlled Medication Form
• APD Form 65G7-08
  Off-site Medication Form

Florida Administrative Code - Rule Chapter 65G-7

• 65G-7.001: Definitions
• 65G-7.002: Determining Need for Assistance; Informed Consent Requirement
• 65G-7.003: Medication Administration Training Course
• 65G-7.004: Validation Requirements
• 65G-7.005: Medication Administration Procedures
• 65G-7.006: Medication Errors
• 65G-7.007: Storage Requirements
• 65G-7.008: Documentation and Record Keeping
• 65G-7.009: Off-site Medication Administration