Correctly fill out the following prescription form for one o…

Correctly fill out the following prescription form for one of the drugs that has been prescribed for Mr. BY.    Rx Nursing Clinic Rx  University of Missouri  School of Nursing ——————————————————————————————— ANP’s Name: Address:  Phone Number: Collaborative Physician’s Name: Address:  Phone Number:   Date: Name: Address:   Rx: Sig:   Disp:  (VOID EXAMPLE ONLY) ———————————————————————————————- ____________________ _______________________ Provider’s Signature Provider’s Signature Substitution Permitted  Dispense as Written   Refill _____ times No Safety cap _____  School of Nursing