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Medication Management

- Medication Management
  
  Medication Management services are available at all of our locations. We provide services to children, adolescents and adults. A prescribing Medical Professional provides our Medication Management services. Persons requesting medication management are scheduled to see a prescribing Medical Professional in the first time slot available.
  
  During the initial appointment, the prescribing Medical Professional completes an evaluation to determine if medication is necessary. The evaluation will include questions such as: review of any current and past medications, history of substance abuse, dietary needs and restrictions, past adverse reactions to medication or side effects, allergies or other pertinent information. If he/she feels that medication is an appropriate course of treatment, a prescription is given and a follow-up appointment is scheduled. If we are unable to provide services as requested, a referral will be given to another community-based provider in the area.
  
  *If you wish to look up your medications, and side effects to medications you
- YHS Referral Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  REFERRAL SOURCE
  
  AGENCY NAME REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  PLEASE CHECK (BELOW) YOUR PREFERRED LOCATION REQUIRED Rockingham County Office Stokes County Office Guilford County Office Caswell County Office Please fill out this field.
  
  Name of Person for Whom Services are Requested
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Guardian's Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Guardian's Contact Information (email, phone, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  Why are you seeking services? REQUIRED Please fill out this field.
  
  Primary Insurance REQUIRED Please fill out this field. Please enter valid data.
  
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