Why should I complete the medical form?
The medical form helps us ensure that the prescribed treatment is coherent and appropriate with the protocol.
The pharmacist plays a crucial role in verifying the treatment before it begins. Research shows that pharmacist
intervention significantly improves patient management.
Additionally, by facilitating access to medicines, Magani.org is responsible for ensuring that medications are properly
prescribed.
The Medical Form is divided into four sections:
1. Cancer Location. Identifying the specific location of the cancer.
2. Protocol Used. Ensuring that the treatment protocol is correctly linked to the diagnosis.
3. Medication Ordered by the Patient. Verifying alignment regarding dosage, cycle duration, and administration days.
Without going into excessive detail, we will highlight the essential information that must be considered.
4. General Questions on Chemotherapy Side Effects. Addressing key concerns regarding the potential side effects of
chemotherapy
Here is an example of a treatment and the associated form.
Treatment : Colorectal cancer
Protocol: Capecitabine + Oxaliplatin
Medication ordered: Oxaliplatin
Administration : Day 1 at a dose of 130 mg/m²
21-day cycle
A total of 6 cycles.