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PRESCRIPTION COUNSELING: TGNC/Transdermal

  • Patient name: Ashley Averill            DOB: 04/02/1996

  • Address: 439 E Sycamore St, Columbus OH 43206  Phone: 614-555-5555

  • Medication Allergies: No Known Drug Allergies (NKDA)

  • Past Medical History: Depression, Hypothyroid

Medication Profile

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Rx# Medication Last Filled Directions Quantity Refills Remaining Prescriber

674498

674497

Sertraline 100 mg

Synthroid 112mcg

2/22/19

2/22/19

Take 1 tablet by mouth every day

Take 1 tablet by mouth every morning on an empty stomach

30

30

2

2

Yeva Anastasie

Yeva Anastasie

image

Your patient is about to begin transgender hormone therapy. This patient was AFAB, but identifies as genderfluid and wants to transition toward a more androgynous physical appearance.

Your patient comes to the pharmacy today with a prescription for hormone therapy. The doctor provided information on the physical effects of this drug, but you will need to counsel on how to use the products.

 

  • Patient name: Nick Cassady              DOB: 05/04/1997

  • Address: 4624 W Beacon Hill Rd., Columbus, OH 43228  Phone: 614-555-5555

  • Medication Allergies: No Known Drug Allergies (NKDA)

  • Past Medical History: Generalized Atonic Epilepsy

Medication Profile

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Rx# Medication Last Filled Directions Quantity Refills Remaining Prescriber

670431

670430

Ethosuximide 250 mg

Onfi 20 mg

3/1/2019

3/1/2019

Take 2 capsules by mouth twice a day

Take 1 capsule by mouth every night at bedtime

360

90

1

1

Raleigh Lazzari

Raleigh Lazzari

image

Your patient is about to begin transgender hormone therapy. This patient was AMAB, but identifies as agender and wants to transition to a neutral physical appearance.

Your patient comes to the pharmacy today with a prescription for hormone therapy. The doctor provided information on the physical effects of this drug, but you will need to counsel on how to use the product.

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