Get Eldoret Cancer Registry Form - Afcrn

The Eldoret Cancer Registry Form - Afcrn is a crucial document used for collecting essential data on cancer patients. This guide is designed to help users accurately complete the form online, ensuring that all necessary information is provided effectively.

Follow the steps to complete the Eldoret Cancer Registry Form online.

1. Press the 'Get Form' button to acquire the form and access it in the appropriate editor.
2. Begin by filling out the patient section. Enter the first name(s), surname, ID number, date of birth, age, gender (select 1 for male, 2 for female, or 9 for not known), place of birth, usual residence address, and information on any concurrent illnesses.
3. Complete the next of kin details by specifying their relationship to the patient, and provide their telephone number along with the patient's contact number. It is also important to indicate the ethnic group and death certificate number if applicable.
4. Move to the follow-up section. Enter the date of last contact in the specified format (dd/mm/yyyy) and select the status of the patient at that time (1 for alive, 2 for dead, 9 for not known). Include the hospice number and cause of death.
5. In the tumour section, record the patient's age, address code, date of incidence, primary site of the tumour, morphology, and the basis of diagnosis. Choose the appropriate options for tumour markers and stage.
6. Fill in treatment details, indicating whether surgery, radiotherapy, chemotherapy, hormone therapy, or symptomatic treatments were administered.
7. Complete the source of information section by providing the institution name, ward, case number, laboratory name, and lab number. Make sure to identify who filled out the form along with the date and signatures required.
8. Review all entries for accuracy. Once confirmed, you can save changes, download, print, or share the completed form.

Take action now and fill out the Eldoret Cancer Registry Form online to contribute to important cancer data collection.