4967-47E
Pharmacists Worksheet
Professional notes and medication-review worksheet.
Ontario MedsCheck
MedsCheck forms
Grouped into MedsCheck Annual and Diabetes MedsCheck. No table rows, no separate form index workflow.
Compatibility: the original Ministry XFA PDFs show an Adobe Reader 8+ warning in browser viewers, so these links use static Chrome-readable PDF copies.
MedsCheck Annual
Standard · At Home · LTC where applicable
4975-47E
Patient Acknowledgement
Annual acknowledgement for professional pharmacy services.
4968-47E
Personal Medication Record
Patient-facing medication record.
4974-47E
Patient Take-Home Summary
Goals, follow-up items, and patient summary.
4976-47E
Healthcare Provider Notification
Prescriber / healthcare-provider notification template.
Diabetes MedsCheck
Diabetes education forms