Get Malaysian Psoriasis Registry Case Report Form - Macr Org

This guide provides a step-by-step approach to filling out the Malaysian Psoriasis Registry Case Report Form - Macr Org online. It aims to support users in accurately completing each section of the form to effectively document psoriasis cases.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form for editing.
2. In Section 1: Demographic details, begin by entering the patient visit date in the specified format (dd/mm/yyyy). Designate the type of visit by selecting 'New Case' or 'Follow-Up'. Next, fill in the patient's name, NRIC, and any applicable identification documents.
3. Continue in Section 1 by providing the patient's address, contact number, gender, date of birth, ethnic group, nationality, and marital status. Ensure that all fields are completed accurately.
4. Move to Section 2: Medical history. Here, record the age when psoriasis started and when it was diagnosed. Specify any family members with psoriasis, and tick any aggravating factors applicable to the patient.
5. In Section 2, detail the disease burden in the last six months by entering the number of clinic visits, days off work or school, and hospital admissions related to psoriasis.
6. Proceed by indicating any other diseases in Section 2. Respond to the questions regarding cigarette smoking habits.
7. In Section 3: Clinical examination, document the patient's height and weight. Select the predominant type of psoriasis and its severity based on the options provided.
8. Continue in Section 3 by noting any nail involvement and any joint disease indicators. Provide details regarding pain, swelling, and deformity related to joint issues.
9. Section 4: Treatment received in the past six months. Indicate any topical therapy, phototherapy, or systemic therapy the patient has undergone, selecting the relevant options.
10. Finally, in Section 5: Quality of life, assist the patient in completing the attached Dermatology Life Quality Index (DLQI) form to accurately reflect the impact of psoriasis on their life.
11. Review all sections to ensure completeness and accuracy. Once finalized, save changes, download, print, or share the form as needed.

Complete the Malaysian Psoriasis Registry Case Report Form online to contribute valuable information for effective psoriasis management.