Form preview

Get the free Case Report template

Get Form
This case report form is designed to evaluate the efficacy of thoracic epidural catheter versus thoracic paravertebral catheter for managing postoperative pain in patients undergoing elective thoracic surgery. It includes criteria for patient inclusion, anaesthesia management details, postoperative pain assessment protocols, and documentation of analgesia management and adverse events.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign case report template

Edit
Edit your case report template form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your case report template form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing case report template online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
In order to make advantage of the professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit case report template. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out case report template

Illustration

How to fill out case report form

01
Start with the patient's personal information: name, age, gender, and contact details.
02
Enter the date of the report and the date of the event being reported.
03
Provide details about the patient's medical history relevant to the case.
04
Describe the nature of the case, including symptoms and duration.
05
Document any relevant lab or diagnostic results.
06
Include any treatments or interventions that were administered.
07
Note any follow-up procedures or recommendations.
08
Review the form for completeness and accuracy before submission.

Who needs case report form?

01
Healthcare professionals documenting illness or medical events.
02
Researchers collecting data for clinical studies.
03
Public health officials surveilling disease outbreaks.
04
Regulatory agencies requiring reports for compliance.

What is Case Report Form?

The Case Report is a writable document you can get filled-out and signed for specific reasons. Then, it is furnished to the actual addressee in order to provide some details and data. The completion and signing is able manually or via a trusted application e. g. PDFfiller. Such applications help to submit any PDF or Word file without printing them out. It also allows you to edit it according to your needs and put legit electronic signature. Upon finishing, you send the Case Report to the respective recipient or several recipients by mail or fax. PDFfiller is known for a feature and options that make your blank printable. It offers different settings when printing out appearance. It does no matter how you'll distribute a form - physically or by email - it will always look neat and organized. In order not to create a new document from scratch over and over, turn the original file into a template. After that, you will have an editable sample.

Instructions for the form Case Report

Once you are about to start submitting the Case Report writable form, you have to make clear all required info is prepared. This very part is highly significant, as long as errors may result in unpleasant consequences. It is always unpleasant and time-consuming to resubmit the whole editable template, not speaking about penalties resulted from missed due dates. To cope with the figures takes more attention. At first glimpse, there’s nothing complicated about this task. Nevertheless, it's easy to make an error. Professionals advise to keep all required information and get it separately in a document. Once you've got a sample, it will be easy to export this information from the document. Anyway, it's up to you how far can you go to provide true and valid info. Doublecheck the information in your Case Report form carefully when filling out all important fields. You also use the editing tool in order to correct all mistakes if there remains any.

Case Report word template: frequently asked questions

1. Is it legit to complete documents electronically?

According to ESIGN Act 2000, Word forms written out and approved using an electronic signature are considered as legally binding, similarly to their physical analogs. In other words, you're free to rightfully complete and submit Case Report fillable form to the establishment required using electronic solution that suits all the requirements of the mentioned law, like PDFfiller.

2. Is it secure to submit sensitive information from web application?

Sure, it is totally risk-free when you use reliable solution for your work-flow for those purposes. For example, PDFfiller provides the benefits like these:

  • All personal data is kept in the cloud backup provided with multi-layer encryption, and it's also prohibited from disclosure. It's only you the one who controls to whom and how this file can be shown.
  • Each and every file signed has its own unique ID, so it can’t be faked.
  • User can set additional security like user authentication via picture or password. There is also an way to lock the whole folder with encryption. Just place your Case Report .doc form and set your password.

3. How can I export available data to the form?

Yes, but you need a specific feature to do that. In PDFfiller, we call it Fill in Bulk. With the help of this one, you can take data from the Excel spreadsheet and put it into your document.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.9
Satisfied
42 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

With pdfFiller, an all-in-one online tool for professional document management, it's easy to fill out documents. Over 25 million fillable forms are available on our website, and you can find the case report template in a matter of seconds. Open it right away and start making it your own with help from advanced editing tools.
Create, modify, and share case report template using the pdfFiller iOS app. Easy to install from the Apple Store. You may sign up for a free trial and then purchase a membership.
With the pdfFiller mobile app for Android, you may make modifications to PDF files such as case report template. Documents may be edited, signed, and sent directly from your mobile device. Install the app and you'll be able to manage your documents from anywhere.
A case report form (CRF) is a document used in clinical trials to collect data on each participant's health status, medical history, and treatment outcomes.
Researchers and clinical trial sponsors are required to file case report forms to report data related to study participants.
To fill out a case report form, one must enter accurate and complete data for each participant, ensuring that all required fields are filled in accordance with the study protocol.
The purpose of a case report form is to systematically collect data necessary for evaluating the safety and efficacy of a medical treatment or intervention during clinical trials.
Information that must be reported includes participant demographics, medical history, adverse events, treatment compliance, and outcomes related to the study.
Fill out your case report template online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.