Lab Form

wow thats frickin cool

Dept. of Mental Hygiene?? Clean up those dirty minds. Glad I never went there. ;-)

I'll fill that out before hand so nobody has to wonder.

love it!

Please fill out this form for the doctor.

They did

Tranquilizers, antidepressants, narcotics, mathadane, quinine? Tick em all man! I'd love to fill out one of these it would make anyone feel special just getting your hands on one of these forms.

What could you possibly put on the 'other" line? I think they've pretty much covered every genre!

"Other" might be alcohol (often listed as ETOH). I'm surprised it's not on the list. Or maybe things like insulin, arsenic, anti-freeze...

I like how Methadone is in its own category and isn't considered a narcotic. I guess it wasn't back then?

its methadone polar, and it was probably the strongest thing they had, now its not a big deal, i take it for fibro mialgia and It works really good for migraines

here in this pic its "forget the hippa laws"

It probably was listing the drugs they typically prescribed as treatment at the facility and drugs of choice the patient may have come in on. The other line would typically cover medications the patient came in on already like insulin, high blood pressure medication, or other medications they are on. I've seen some of these when I worked in detox as an undergrad doing assessments. We used a similar form for the assessment and would ask what drugs the patient had used in the past and what if any drugs they were on right now. They also used a form like this for incident reporting that would be used by the ME when doing a tox analysis so they knew what was prescribed and what should and shouldn't be in a persons system.