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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