16-04 Annex A Appendix 1 - Cadet Summer Training Centre Medication Log (Sample)
Cadet Administrative and Training Orders (CATOs)
Name:
Date of Birth:
Unit:
Date:
From:
To:
Medication #1
Dosage:
Take with food: (yes/no)
Circle the hours that the cadets must take his medication
Dosage | Date and Supervisor | Day | 8:00 | 12:00 | 16:00 | 21:00 |
---|---|---|---|---|---|---|
Sunday | *Cadet initial | |||||
Monday | ||||||
Thursday | ||||||
Wednesday | ||||||
Thursday | ||||||
Friday | ||||||
Saturday |
Date/time reffered for missed medication doses:
Medication #2
Dosage:
Take with food: (yes/no)
Circle the hours that the cadets must take his medication
Dosage | Date and Supervisor | Day | 8:00 | 12:00 | 16:00 | 21:00 |
---|---|---|---|---|---|---|
Sunday | *Cadet initial | |||||
Monday | ||||||
Thursday | ||||||
Wednesday | ||||||
Thursday | ||||||
Friday | ||||||
Saturday |
Date/time reffered for missed medication doses:
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