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CLINICAL JUSTIFICATIONS FOR SPECIAL ACCESS ROUTES (SAR) APPLICATIONPart 1: To be completed by Head of Department (or equivalent) of requesting healthcare institution1. Cluster: ___2. Healthcare institution:
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How to fill out moh-clinical-justification-review--for-unregistered- template

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How to fill out moh-clinical-justification-review-form-for-unregistered

01
Download the MOH Clinical Justification Review Form for Unregistered from the official MOH website.
02
Fill in your personal information such as name, date of birth, and contact details in the designated fields.
03
Provide details of the patient requiring the unregistered treatment, including their name, age, and medical condition.
04
Fill out the medical history section, including any relevant diagnoses, previous treatments, and current medications.
05
Explain why the use of an unregistered treatment is necessary and provide supporting medical evidence.
06
Specify the proposed treatment plan and dosage, including any anticipated risks and benefits.
07
Include the signature of the attending healthcare professional and the date of completion.
08
Submit the completed form to the appropriate authority or department for review and approval.

Who needs moh-clinical-justification-review-form-for-unregistered?

01
The MOH Clinical Justification Review Form for Unregistered is needed by healthcare professionals who require approval for the use of unregistered treatments in their patients. This form is typically used when there are no registered treatment options available or when alternative treatments have been deemed ineffective. It allows healthcare professionals to justify the need for the use of unregistered treatments based on the patient's medical condition and available evidence.

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The MOH Clinical Justification Review Form for Unregistered is a document used to assess and justify the clinical needs for patients requiring unregistered medical products or procedures.
Healthcare professionals, specifically physicians or practitioners who are prescribing unregistered medical products or treatments, are required to file this form.
To fill out the form, the healthcare provider must provide patient details, clinical justification, treatment rationale, and any supporting documentation as per the guidelines outlined by the MOH.
The purpose of the form is to ensure that there is a justifiable clinical need for the use of unregistered medical products, thereby ensuring patient safety and compliance with health regulations.
The information required includes patient’s medical history, diagnosis, treatment plan, details of the unregistered product, and reasons why registered alternatives are not suitable.
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