SaferMedsNL Healthcare Provider Order Form

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Thank you for your help in improving medication use across Newfoundland and Labrador. Please fill out this form and we will send you free evidence-based proton-pump inhibitor deprescribing resources.

Become part of the movement to improve proton pump inhibitor (PPI) use in your patients by ordering TODAY!

Orders will be shipped as soon as possible. Availability of material is subject to supplies on hand.

Health discipline *

Pharmacist

Nurse or nurse practitioner

Physician

Other:

Materials Requested

Order SaferMedsNL's evidence-based resources to guide PPI deprescribing in appropriate patients and reduce the risk of rebound symptoms. These tools can help engage your patients in a conversation to review if PPIs are still necessary or if they can be deprescribed.

SaferMedsNL Starter Kit

Each starter kit contains: 5 x Patient Education Brochure, 10 x PPI Deprescribing Postcards, 1 x PPI Deprescribing Poster

No starter kit - Order individually on the next page

x 1 Starter kit

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