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MEDICAL DAY CARE CLINIC SCI AND C1 INH HOME INFUSION REFERRAL×MXX* MSXX106220ANew: Dec 10/14Page: 1 of 2FAX to JPO CSC Central Intake (6049539701)PATIENT INFORMATION: Patient's Name:Gender: Lactate

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What is c1 inh home infusion?

C1 INH home infusion is a type of treatment for hereditary angioedema (HAE) that involves administering C1 esterase inhibitor at home.

Who is required to file c1 inh home infusion?

Patients with hereditary angioedema (HAE) who are prescribed C1 esterase inhibitor home infusion therapy are required to file c1 inh home infusion.

How to fill out c1 inh home infusion?

To fill out c1 inh home infusion, patients need to provide information on the dates of infusion, dosage administered, any adverse reactions, and overall effectiveness of the treatment.

What is the purpose of c1 inh home infusion?

The purpose of c1 inh home infusion is to prevent and treat attacks of hereditary angioedema (HAE) by maintaining C1 esterase inhibitor levels in the body.

What information must be reported on c1 inh home infusion?

Patients must report the dates of infusion, dosage administered, any adverse reactions, and overall effectiveness of the treatment on c1 inh home infusion.

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