Correctional Facility Medication Administration Record (MAR)
Inmate Information
Inmate Name:
ID Number:
Date of Birth:
Unit/Cell:
Allergies:
Medication Orders
Medication Name
Dosage
Route
Frequency
Start Date
End Date
Prescriber
Notes
Administration Record
Date
Time
Medication
Dosage
Initials
Remarks
Notes / Observations
Staff Signature:
Date: