Get Cti Form

Filling out the Cti Form online can streamline the reporting process for serious adverse events. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to fill out the Cti Form online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Fill in the reporter information section, including study number, patient study number, investigator's name and contact details, and institution address. Ensure all details are accurate for prompt communication.
3. Provide the physician's information responsible for patient care, if they are not the investigator, including their name, address, and phone number.
4. Indicate whether the adverse event has been reported to a competent authority by selecting 'Yes,' 'No,' or 'Unknown.' If 'Yes,' specify the agency.
5. In the patient information section, enter the patient's initials, date of birth, gender, body weight in kilograms, height in centimeters, and the disease for which was used.
6. Complete the information by filling in the daily dose, dosing schedule, and dates of the first and latest doses. State if the investigator believes the event is related to .
7. Record whether the event improved after stopping or reducing , and if it reappeared after any reintroduction of . Include details about any changes in administration due to the event.
8. Document the event information by accurately describing the adverse event(s) and any relevant tests or laboratory data, ensuring to attach any supporting documents without patient identifiers.
9. List any concomitant drugs taken at the time of the adverse event, including dosage and duration of administration.
10. In the seriousness criteria section, check all applicable options related to the event’s seriousness, and provide further details as necessary.
11. Select the overall event outcome by checking the option that best describes the patient’s condition at the time of reporting.
12. Once all sections are completed, review the form for accuracy, then save your changes, download, print, or share the form as needed.

Complete your documents online efficiently by following this guide.