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Evaluation

Are you evaluating an adult with one or more chronic diseases?

Age of the patient

years

Is the patient Afro-American?

Does the patient make less than $5,000 per year?

Is the person unfamiliar with what the numbers on the drug container mean?

Has the patient been told by the pharmacy to call the primary physician for a refill order?

Is the patient self-pay status (uninsured)?

Has the patient been admitted to the hospital within the past 12 months?

Does the patient rely on the ED for health care?

Results

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