Clinic or Unit-specific Forms
The following forms can be used by clinics to order items from the pharmacy. The forms are pdf documents.
For questions, please call 859-218-5556 or 859-257-8416 to speak with a Pharmacy Purchasing Representative. Fax all forms to 859-257-4656. Orders placed by 3 p.m. will be processed and ready for pickup the next business day. Delivery options are available.
Dentistry Clinic Order Form (PDF, 11 KB) ENT Clinic Order Form (PDF, 28 KB) Family Practice Clinic (PDF, 15 KB) General Surgery Clinic (PDF, 42 KB) GI Clinic (PDF, 12 KB) Good Samaritan Surgical Specialty (PDF, 66 KB) Gynecology-Oncology Clinic Infectious Disease/Bluegrass Care Clinic (PDF, 13 KB) Medicine Clinic (PDF, 16 KB) KY Neuroscience Institute (PDF, 12 KB) Ophthalmology Clinic (PDF, 14 KB) Orthopaedics Clinic (PDF, 39 KB) Pediatric Clinics (PDF, 39 KB) Plastics Clinic (PDF, 12 KB) KY Clinic South - Primary Care (PDF, 38 KB) Rehab Clinic (PDF, 12 KB) Salvation Army Clinic (PDF, 12 KB) University Health Services Clinic (PDF, 47 KB) UK Athletics Clinic (PDF, 12 KB) Urology Clinic (PDF, 12 KB) Women's Health Clinic (PDF, 43 KB) Fluid orders (PDF, 79 KB)
Specialty Pharmacy Forms
Pharmacy hematology/oncology referral form (PDF, 246 KB) Permission to Communicate Health Information (PDF, 67 KB)
Proper disposal of expired medications (PDF, 95 KB) Temperature logs (PDF, 143 KB)
The Clinical Pharmacokinetics and Anticoagulation Service Guidelines were developed to ensure safe and efficacious dosage regimens through the application of pharmacokinetic/pharmacodynamic principles and the determination of drug serum concentrations.
The policy/procedure manual outlines standard guidelines which should be followed when providing clinical pharmacokinetic monitoring of the following drugs:
- Direct Oral Anticoagulants
- Direct Thrombin Inhibitors
- Phenytoin (free and total)
- Valproic acid
In addition to the above list UK HealthCare pharmacy services has guidelines for Heparin Induced Thrombocytopenia (HIT) and the assessment and management of Venous Thromboembolism (VTE) prophylaxis.
Clinical Pharmacokinetics and Anticoagulation Service Guidelines (PDF, 1.15 MB)
Providers can easily electronically prescribe medications to each of our retail pharmacy locations. The Surescripts ID for each of our pharmacies is listed below.
- UK – Chandler Retail Pharmacy
- UK – Good Samaritan Retail Pharmacy
- UK – Kentucky Clinic Pharmacy
- UK – Specialty Pharmacy
- UK – Turfland Clinic Pharmacy
- UK – University Health Pharmacy
UK HealthCare offers several pharmacy residencies in many different areas of practice including:
- Post Graduate Year One
- Critical Care
- Emergency Medicine
- Infectious Disease
- Internal Medicine
- Medication Use Safety
- Solid Organ Transplant
- Specialty Pharmacy
While the program focuses on enhancing patient care skills, residents are encouraged to develop their communication skills by teaching PharmD students in classroom lectures, and pharmacotherapy breakout groups. There is also a robust support system for research projects.
To learn more about the program, visit the UK HealthCare Pharmacy Residency page »