Patient Counseling Documentation (Pharmacy)

Documents the offer to counsel and any patient counseling provided for new and changed prescriptions, including OBRA '90 counseling documentation and patient education details.

Prescription and Patient Context

• Date of Counseling
• Time of Counseling
• Prescription Type
• Medication Name
• Prescription Number or Internal Reference
  Use the prescription number or internal reference needed for the audit trail. Do not collect extra PII.

Counseling Offer and Outcome

• Was counseling offered?
• Counseling Outcome
• Reason Counseling Was Not Completed

Counseling Content

• Topics Discussed
• Patient Questions or Concerns
• Follow-Up Advice or Monitoring Instructions

Counselor Attestation

• Counselor Name
• Counselor Role
• I attest that this record accurately reflects the counseling offer and any counseling provided.