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STATEMENT OF MEDICAL NECESSITY (SMN) PEDIATRIC GROWTH HORMONE TREATMENT Success Request Fax: (866) 924-8584* SMN Fax (non-NuAccess request): (800) 545-0612 SM DIAGNOSIS PATIENT SERVICES REQUESTED?
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How to fill out pediatric growth hormone treatment
How to fill out pediatric growth hormone treatment:
01
Follow the instructions provided by the healthcare provider or specialist overseeing the treatment.
02
Typically, the treatment involves administering growth hormone through injections. Ensure these injections are given as directed, at the recommended dosage and frequency.
03
Properly prepare the growth hormone medication prior to administration, following the specific guidelines provided by the healthcare professional.
04
Use the correct technique when administering the injections, such as choosing an appropriate injection site and ensuring proper hygiene to prevent infection.
05
Keep a regular schedule for administering the growth hormone treatment, aiming for consistency and adherence.
06
Monitor the child's growth and progress throughout the treatment period, as recommended by the healthcare provider.
07
Regularly communicate and consult with the healthcare provider to address any concerns, discuss any side effects experienced, and adjust the treatment plan if necessary.
Who needs pediatric growth hormone treatment:
01
Children diagnosed with growth hormone deficiency, where the body is unable to produce adequate amounts of growth hormone.
02
Individuals with certain genetic disorders, such as Turner syndrome or Prader-Willi syndrome, which may result in growth hormone deficiency.
03
Children with chronic kidney disease, who may require growth hormone treatment to support growth and development.
04
Those who have undergone treatment for childhood cancer, such as radiation therapy or chemotherapy, which can disrupt normal growth hormone production.
05
Certain medical conditions affecting bone health, such as idiopathic short stature, may also require pediatric growth hormone treatment.
06
Ultimately, the decision to initiate growth hormone treatment is made by the healthcare provider, considering the child's medical history, symptoms, and diagnostic tests.
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