POD form and matrix

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Author: Maryland Department of Health & Mental Hygiene

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This form provides general information for tracking medication dispensed. It shows a full family and the medication requested for that family. This form could be a template for a health department looking to develop a system of tracking medication dispensed in emergency situations.

Program: Public Health Preparedness

Submitted Date: Oct 13, 2016 | Modified Date: Sep 30, 2025

Primary Toolkit: Medical Countermeasure (MCM) Toolkit | Secondary Toolkit: Medical Countermeasure (MCM) Toolkit

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Institution Type: State,

Keywords: Emergency Response, Medical Countermeasures

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