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Medication Temperature Log
This template provides a monthly log sheet of medication temperature. At the top of the form the month and year are designated. The log provides for individual line items for each day with the temperature readings and employee's initials and notes. At the completion of each form the supervisor can approve the medical records prior to filing the completed log.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Medication Temperature Log TemplateForm 2425
Format: Word PDF
Category: Medical, Hospital
Type: Log

Medication Temperature Log

Name: ________________________________________________________________________________________

Location: ______________________________________________________________________________________

Year: __________________

Month: ________________

Day

Temp.

Min.

Max

Initials

Notes

Signature: __________________________________________________________________Date: ___/___/_____

Supervisorís Signature: ________________________________________________________ Date: ___/___/_____