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Check all forms completed: Patient Registration Form Baseline General Information Form Baseline Medical History Form Baseline Concomitant Medication Form Dietary Supplemental Form Baseline Refraction and Visual Acuity Form Baseline OCT/Photography Confirmation Form Baseline Ocular Assessment Form Assessment of Eligibility Form Intravitreal Injection Treatment Form Concomitant Medication Log Adverse Event Log PRN Form: Additional Information on Women of Childbearing Potential Form DATE INITIAL.

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How to fill out the Baseline Forms online

Filling out the Baseline Forms online is an essential process for participating in the Age-related Macular Degeneration Treatments Trials. This guide aims to provide you with clear, step-by-step instructions on how to accurately complete each section of the forms.

Follow the steps to complete the Baseline Forms online.

  1. Click ‘Get Form’ button to access the Baseline Forms and open it in your preferred online interface.
  2. Begin with the Administrative section. Enter the Administrative ID Number, Alpha Code, Clinic Number, Site Number, and Week number as prompted. Make sure these details are accurate as they serve as identifiers for your submission.
  3. In the 'Additional Requirements' section, check all forms that have been completed. It is crucial to ensure that every required form like the Patient Registration Form and the Baseline Medical History Form has been filled out.
  4. Provide the required date and your initials for verification. This ensures that your entries are authenticated and represents your completion of the forms.
  5. Proceed to fill out the Patient Registration Form by inputting the patient's ID number, alpha code, and other necessary demographic information. Confirm that the patient has signed the consent form, as this is mandatory before further data entry.
  6. Complete the necessary sections in the Baseline General Information Form, directly questioning the patient where necessary. Record their date of birth, age, gender identity, height, weight, and smoking status as specified.
  7. Continue to the Baseline Medical History Form. Read aloud the provided medical conditions to the patient and record their responses accurately, ensuring that all relevant history is documented.
  8. Once all information has been entered, double-check for accuracy. You can then save your progress if the option is available, or proceed to download, print, or share the completed forms as needed.

Complete your documents online today to ensure a smooth and efficient submission process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232