North East London Local Pharmaceutical Committee


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GP Letter

MURs > Forms & Templates

Template GP notification

Pharmacy name and address

GP/Practice name and address

Date

Dear Doctor

I am writing to inform you that the following patients have received a Medicines Use Review (MUR) during the month of at this pharmacy. No issues were raised during the MUR that required your consideration (other matters may have arisen that the patient or pharmacy has dealt with).



Patient name DOB NHS number Date of review For GP/Practice - tick if you require a copy of the MUR form












0






0






0






0






0


Clinical codes: Medicines Use Review done by community pharmacist:
4byte:8BMF Version 2:8BMF.
Clinical Terms Version 3:XaKuo SNOMED CT:198391000000102

If you would like me to send you a copy of the completed MUR form for any of the patients listed above, please tick the appropriate box(es) and return a copy of this letter to the pharmacy.

Yours sincerely



Pharmacist
Pharmacy Name





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