Special Authority: Proton Pump Inhibitors (PPIs) eFORM

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  • Create Date May 24, 2024
  • Last Updated May 26, 2024

Special Authority: Proton Pump Inhibitors (PPIs) eFORM

How to Import an e-Form

Use download button below, then import eform into your EMR by following these instructions

Includes signature stamp and tickler loop closer.

Attached Files and Latest Versions

FileAction
SA_PPI_V13_Sep3_2022.zipDownload