Get Form 701 - Cibmtr

Filling out the Form 701 - Cibmtr online can seem daunting, but with clear guidelines, you can navigate the process with ease. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently.

Follow the steps to successfully complete the Form 701 - Cibmtr online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Enter the required registry use only information, including the sequence number and date received.
3. Fill in the donor and recipient NMDP IDs. Ensure you accurately input the full ID numbers as provided.
4. Input the applicable DC, TC, AC, and CC codes in the designated fields.
5. If applicable, enter the date of collection in the format YYYY-MM-DD.
6. Select the product type from the available options and specify if other.
7. Provide the date of actual contact with the donor in the format YYYY-MM-DD.
8. Indicate whether this is the first report of the adverse event by selecting 'Yes' or 'No'.
9. If answering 'Yes' to the first report, proceed to enter the adverse event date of onset.
10. For 'No' answers, specify reasons for completing the form, indicating any changes in the donor's condition or treatment.
11. Assess if this is a serious adverse event by selecting 'Yes' or 'No' and providing the necessary details.
12. Describe the donor's symptoms or change in status, including any relevant medical information.
13. Confirm if the donor was seen by a physician, and indicate their diagnosis if applicable.
14. Detail any required treatments or actions taken in response to the event.
15. Enter the current status of the adverse event, indicating whether it has been resolved.
16. Add any additional comments regarding the adverse event if necessary.
17. Sign the form, print your name, and provide the date. Include preferred contact information.
18. For medical director review, complete the required sections regarding event intensity and its relationship to the donation process.

Complete your Form 701 - Cibmtr online today to ensure accurate reporting and processing.