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Case Report Form: Very 21 date: Dec 21, 2008-Page 1 of 6 Maker ere University Medical School Mulatto Hospital University of Toronto Cytoadherence in Pediatric Malaria Patient name (last, first): UPN
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Start by gathering all the necessary information before filling out the form. This includes the patient's personal details, medical history, current medications, and any relevant test results or imaging reports.
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Begin the form by filling out the patient's name, date of birth, and contact information. Make sure to double-check the accuracy of these details as they are crucial for identification purposes.
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Move on to the section where you will document the reason for the case report. Provide a clear and concise description of the patient's medical condition or the purpose of the report.
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Proceed to fill out the patient's medical history. This may include any previous illnesses or surgeries, allergies, ongoing medical conditions, and family history. Be thorough and provide as much detail as possible.
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Next, document the patient's current medications, including any prescription drugs, over-the-counter medicines, or herbal supplements they are taking. Include the dosage, frequency, and duration of use.
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If applicable, fill out the section for test results or imaging reports. Provide the necessary details, such as the name of the test, the date it was conducted, and the results. Attach copies of the reports if required.
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Complete any additional sections specific to your case report form ver. This may include questions about the patient's lifestyle, occupation, or any other relevant information.

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Case report form ver is a standardized document used in medical research to collect data on individual patients.
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Case report form ver is typically filled out by documenting detailed information about a patient's medical history, treatment, and outcomes.
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