Appendix 1 - Individual Unlicensed & High Risk Off Label Medicine Application Form

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Editorial Information

Last reviewed: 26/03/2021

Next review date: 31/10/2027

Author(s): NHS Lanarkshire.

Version: 2.0

Author email(s): clinicalguidelines@lanarkshire.scot.nhs.uk.

Approved By: ADTC

Reviewer name(s): Medicine Guidance Team.