Off-label Medication Use Consent Form

The Use of Non-registered and Off Label Medications

Non-registered/off label medications shall only be used when:

Practitioners must be fully aware of their responsibilities when using non-registered or off-label medications and must have sufficient knowledge, information or experience to show that they are acting reasonably and in the best interests of their patients.

Doctors are required to use this form to officially acquire Patient / Caregiver consent

BEFORE using a medication outside of its registered indications to treat the patient.

The completed form MUST be inserted into Patient Case Notes for record purposes.

The form is available in both Bahasa Malaysia and English language.

Reviewed 4 April 2024