DISCHARGE ORDERS-NPNE

[select name="variable_dcor" value="DISCHARGE ORDERS for|AMA DISCHARGE ORDERS for"] [date name="variable_1" default=""] (see notes for details)

Home pharmacy: [textarea name="variable_2" default=""]
1. Patient may discharge with active MAR medications from omnicare
2. Prescriptions sent to home pharmacy:
[textarea name="variable_1" default=""]
3. May discharge with all home medications [checkbox name="variable_exc" value="except for:"][text name="variable_home" default=""]
4. Advise patient to pick up OTC medications: [checkbox name="variable_132" value="multivitamin|melatonin|thiamine|folic acid|flonase|zyrtec|claritin|nicotine replacement"] [textarea="variable_3" default=""]
5. Specific medications (active or inactive) to be sent home with patient (will not be Rx'd to home pharmacy):[checkbox name="variable_1" value="NONE"][textarea name="variable_22" default=""]
[checkbox name="variable_202" value="6. Patient should follow up with PCP regarding the following medications (as these were not Rx'd):"]
[textarea name="variable_32" default=""]