APD > Medication Administration


Medication Forms

Medication administration forms incorporated by Rule 65G-7, Florida Administrative Code.


Florida Administrative Code


  • APD Form 67G7 - Medication Administration Record 2
    DOC | PDF
  • APD Form 65G7-00 - Medication Administration Record (MAR)
    DOC | PDF
  • APD Form 65G7-01 - Authorization for Medication Administration
    DOC | PDF
  • APD Form 65G7-02 - Informed Consent for Medication Administration
    DOC | PDF
  • APD Form 65G7-03 - Medication Administration Provider/Course Approval Form
    DOC | PDF
  • APD Form 65G7-04 -Validation Certificate
    DOC | PDF
  • APD Form 65G7-05 - Medication Error Report (MER)
    DOC | PDF
    APD Form 65G7-05e (MER Electronic Version)
    Note: You must use secured encrypted email when submitting this form via email.
  • APD Form 65G7-06 - Medication Destruction Record
    DOC | PDF
  • APD Form 65G7-007 - Controlled Medication Form
    DOC | PDF
  • APD Form 65G7-08 - Off-site Medication Form
    DOC | PDF

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