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AGENDA ITEM NO: 13.2 UNIVERSITY COUNCIL ACADEMIC PROGRAMS COMMITTEE REQUEST FOR DECISION PRESENTED BY: Len Proctor, Chair, Academic Programs Committee of Council DATE OF MEETING: October 21, 2010,

How to fill out request for decision medicine

How to fill out a request for decision medicine:

1. Obtain the necessary forms from the respective medical institution or insurance provider. These forms are usually available online or can be obtained directly from the office.
2. Fill out the personal information section accurately, including your name, address, contact details, and insurance information (if applicable).
3. Provide a detailed description of the medical condition or treatment decision you are seeking, including any relevant medical history or test results that support your request.
4. Clearly state the reason for your request and why it is necessary for your specific situation. This could include a discussion of alternative treatment options and why the requested decision medicine is the most viable choice.
5. If applicable, provide supporting documentation such as medical records, doctor's notes, or specialist reports that further validate your need for the specific medication.
6. Review the completed form to ensure all information is accurate and legible. If applicable, seek assistance from a healthcare provider or advisor to ensure the request is comprehensive and clear.
7. Submit the request via the designated method, such as online submission, mailing, or delivering it in person. Keep a copy of the completed form for your records.

Who needs a request for decision medicine?

1. Individuals who have a specific medical condition or treatment that requires a decision medicine. This could be a medication that is not part of the standard treatment protocol or requires special authorization.
2. Patients who have explored other treatment options and found them to be ineffective or unsuitable for their condition.
3. Individuals who have received recommendations from their healthcare provider or specialist to try a particular decision medicine due to its potential benefits or effectiveness for their specific medical condition.
4. Patients who have insurance coverage that requires prior authorization before approving the use of certain medications.
5. Individuals who are seeking a second opinion or alternative treatment option that may not be readily available or easily accessible.

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