Get F70 Verification Of Cell Product - Wmda - Home - Wmda

The F70 verification of cell product form is essential for documenting the necessary information regarding cell products used in transplantation. This guide provides clear and comprehensive instructions to help users fill out the form accurately and efficiently online.

Follow the steps to complete the F70 verification of cell product form online

1. Press the ‘Get Form’ button to access and open the form in your browser.
2. Begin by entering the patient data. Fill in fields such as the patient's name, patient registry, transplant center, and date of birth using the format YYYY-MM-DD.
3. Next, move to the donor data section. Provide the donor registry, donor's date of birth in the same format, and complete any necessary identification fields.
4. For HPC, Apheresis and MNC, Apheresis sections, fill in the patient ID numbers allocated by both the patient and donor registries.
5. Complete Section A with information required from the donor center. Input the total number of cells requested by the transplant center, any comments, and the name of the person completing the form along with their signature.
6. Proceed to Section B, filling out details from the collection/apheresis center. Indicate the number of cells that may be collected along with the collection date(s) and the start date of G-CSF treatment.
7. In this section, provide specific anticoagulant choices, volume ratios, and contact information for the collection center, including phone, fax, and email.
8. Review the statement regarding the feasibility of collecting the requested amount of cells, providing comments as necessary and completing the signature and date fields.
9. Finally, in Section C, obtain the transplant center's acceptance of the terms by entering the name of the person completing the form, the date, and securing the necessary signature.
10. Once all sections are complete, save your changes, and you can choose to download, print, or share the filled-out form as needed.

Complete your F70 verification of cell product form online today for swift processing.