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Prescription Counseling: TGNC/Transdermal

Patient’s legal information

  • Patient name: James Hawks          DOB: 09/26/1996

  • Address: 24 E Main St., Columbus OH 43210  Phone: 614-555-5555

  • Medication Allergies: No Known Drug Allergies (NKDA)

  • Past Medical History: GERD, Degenerative Disc Disease

  • Your preferred name is Jamie.

  • Your pronouns are they/them.

  • You identify as nonbinary.

Please gently correct the intern if the intern misgenders you (eg, sir, mister) or uses your legal name (James).

You are at the pharmacy to pick up a new transdermal patch prescription.

Your doctor provided information on the physical effects of this drug, but you need to know how to use the product.

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