Loading
Get Dutch Lipid Calculator
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Dutch Lipid Calculator online
The Dutch Lipid Calculator is an essential tool for assessing the risk of Familial Hypercholesterolaemia (FH) based on family and personal health histories. This guide provides a detailed, step-by-step approach to filling out the form online, ensuring that all necessary information is accurately compiled for proper evaluation.
Follow the steps to complete the Dutch Lipid Calculator form online.
- Press the ‘Get Form’ button to obtain the Dutch Lipid Calculator form and open it in the editor.
- Begin by entering the patient's name in the designated field.
- Input the date of birth (DOB) of the patient in the appropriate section.
- Document the date on which the form is being completed.
- Proceed to evaluate the family history criteria. Note any first-degree relatives who have experienced premature coronary or vascular disease.
- If applicable, indicate if there are first-degree relatives with high LDL-cholesterol levels or physical signs like tendinous xanthomata.
- Assess the clinical history by identifying any personal history of premature coronary artery disease.
- Evaluate any incidents of premature cerebral or peripheral vascular disease in the patient's history.
- Examine the physical signs, specifically noting the presence of tendinous xanthomata or arcus cornealis.
- Measure the untreated LDL-cholesterol levels and record the appropriate score based on the provided ranges.
- Calculate the total score by adding up all the individual scores from the previous sections.
- Finally, categorize the likelihood of FH diagnosis based on the total score obtained and complete the patient score section.
- Once all sections are filled in accurately, save the changes, download, print, or share the completed form as needed.
Complete your Dutch Lipid Calculator form online today for a comprehensive assessment.
A person is considered at high risk for developing heart disease if their total cholesterol level is higher than 240 mg/dL, LDL levels are higher than 160 mg/dL (190 mg/dL is even higher risk), and if the HDL level is below 40 mg/dL.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.