Get the free ASTRO Survivorship Care Plan Template in draft form - astro

Public Comment Period for Proposed Radiation Oncology Survivorship Care Plan Template Purpose The aim of this ASTRO-sponsored Survivorship Care Plan (SCP) template is to formulate a standardized treatment

How to fill out astro survivorship care plan

How to fill out astro survivorship care plan:

1. Gather relevant medical information such as diagnosis, treatments received, and current medication list.
2. Schedule a meeting with your healthcare provider to discuss the survivorship care plan and address any questions or concerns you may have.
3. Review the template or form provided by your healthcare provider and ensure that you understand each section.
4. Provide accurate personal information including your name, date of birth, and contact details.
5. List your healthcare provider's contact information for easy reference.
6. Document your specific cancer diagnosis and date of diagnosis.
7. Include a summary of the treatments and therapies you have received including surgeries, radiation therapy, chemotherapy, and immunotherapy.
8. Mention any side effects experienced during or after treatment and how they have been managed.
9. Document any other health conditions you may have alongside your cancer diagnosis.
10. Provide a detailed medication list, including prescribed medications, over-the-counter drugs, and any supplements or alternative therapies.
11. Mention any ongoing or follow-up care recommendations from your healthcare provider.
12. Include information about your support network and resources utilized during your survivorship journey.
13. Consider including any emotional or psychological support programs or therapies you have accessed.
14. Finally, review the filled-out astro survivorship care plan for accuracy and completeness before sharing it with your healthcare provider.

Who needs astro survivorship care plan:

1. Cancer survivors who have completed their primary treatment(s) and are transitioning into survivorship.
2. Individuals who have completed radiation therapy, chemotherapy, surgery, or a combination of these treatment modalities for their cancer.
3. Patients who have experienced side effects or complications related to their cancer treatment(s) and require ongoing care and management for those concerns.
4. Individuals who wish to have a comprehensive plan for their continued healthcare and monitoring, including regular follow-up appointments and screenings.
5. Patients who want to ensure that their medical team has a clear understanding of their cancer history, treatments received, and any relevant information to provide appropriate care in the future.

For pdfFiller’s FAQs

What is astro survivorship care plan?

The astro survivorship care plan is a comprehensive plan that outlines the necessary follow-up care and support for cancer survivors after they have completed their treatment.

Who is required to file astro survivorship care plan?

Healthcare providers, including oncologists and primary care physicians, are required to file astro survivorship care plans for their cancer survivor patients.

How to fill out astro survivorship care plan?

Astro survivorship care plans can be filled out by healthcare providers with input from the cancer survivor and should include information on the survivor's medical history, treatment received, and recommendations for follow-up care.

What is the purpose of astro survivorship care plan?

The purpose of astro survivorship care plans is to ensure that cancer survivors receive the necessary follow-up care and support to monitor for recurrence or late effects of treatment.

What information must be reported on astro survivorship care plan?

Information that must be reported on astro survivorship care plans includes the survivor's medical history, details of their cancer treatment, recommendations for follow-up care, and resources for support.

Can I sign the astro survivorship care plan electronically in Chrome?

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