Get 9 Month Post-op Follow-up Form Patient

This guide provides clear instructions for users on how to accurately complete the 9 Month Post-Op Follow-up Form Patient online. By following these steps, users can ensure all necessary information is submitted correctly and efficiently.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering the patient’s initials, trial number, date of birth, hospital number, hospital name, consultant's name, and date of assessment in the specified fields.
3. Indicate if the patient is still alive by selecting 'Yes' or 'No'. If 'Yes', proceed to step 4. If 'No', provide the date of death and brief details regarding the cause of death, ensuring to select appropriate options regarding the relation to disease and trial treatment.
4. For the patient status, select from the options: 'No evidence of cancer disease' or 'Alive with cancer disease' and fill in any relevant cancer disease information.
5. Complete the patient assessments section by filling in the WHO performance status and the RTOG/EORTC late radiation morbidity score, along with the grading for various organs or tissues as necessary.
6. Indicate whether the patient has had a chest X-ray by selecting 'Yes' or 'No'. If 'Yes', provide the date of the chest X-ray and the reason for it.
7. Finally, print your name, sign the form, and date it before submission.

Complete the 9 Month Post-Op Follow-up Form Patient online for timely submission and efficient tracking of patient information.