Get Forms - National Alzheimer's Coordinating Center - University Of ... - Alz Washington

Filling out the forms for the National Alzheimer's Coordinating Center is a vital process for contributing to Alzheimer's research and ensuring comprehensive data collection. This guide provides step-by-step instructions to assist users in completing the forms accurately and efficiently online.

Follow the steps to successfully complete the forms.

1. Use the ‘Get Form’ button to access the forms and open them in your designated editor.
2. Begin by filling out the Form Z1: Form Checklist. Record the necessary details such as Center name, ADC Subject ID, Visit Date, and ADC Visit number. Ensure that you indicate which forms are submitted by marking 'Yes' or 'No.'
3. Complete Form A1: Subject Demographics. This information should include details like the subject's birth date, sex, ethnicity, and language. Make sure to check only one box per question for clarity.
4. Move on to Form A2: Informant Demographics, which should be filled out by the informant. Input the informant's birth date, sex, and relationship to the subject. Similar to Form A1, check only one box per question.
5. For Form A3: Subject Family History, record the presence of any dementia in the subject's family. Use the provided codes to indicate whether the subject's parents or siblings had dementia.
6. Proceed to Form A4: Subject Medications. List all medications taken by the subject in the past two weeks, including prescription and non-prescription medications, as well as vitamins or supplements. Indicate the dosage and frequency.
7. Continue with Form A5: Subject Health History, where you will check the presence or absence of a variety of health conditions as determined by the clinician's best judgment.
8. Complete the assessment forms such as Form B1: Evaluation Form – Physical, B2: Hachinski Ischemic Scale, B3: UPDRS, and B4: Clinical Dementia Rating. These must be filled by clinician based on physical exams and the history provided.
9. For Forms B5 to B9, complete various behavioral and functional assessments as required. Each form should be filled based on clinician and informant reports.
10. Use Form C1: MMSE and Neuropsychological Battery for cognitive assessment. Ensure that each assessment is scored and documented correctly.
11. Fill out Form D1: Clinician Diagnosis – Cognitive Status and Dementia to indicate the cognitive status of the subject and any applicable dementia diagnoses.
12. Finally, complete Form E1: Imaging/Labs, where you will list any imaging or lab tests that were conducted, along with their results.
13. Upon completion of all sections, make sure to save your changes, and download or print the forms as needed. Review the submitted information for accuracy before finalizing.

Start filling out your forms online today to contribute to vital research in Alzheimer's disease.