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CCF IRB #: 18310 Approval Date: 2/17/2021 Expiration Date: 3/22/2021CONSENT FOR CANCER RESEARCH Project Title: PRMC5617, Vitamin D as a Nutritional Neoadjuvant during Photodynamic Therapy of Basal
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Obtain the photodynamic therapy (PDT) referral form from your healthcare provider.
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Provide details about your diagnosis, including the specific condition being treated.
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Fill in any prior treatments you have received for the same condition.
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Photodynamic therapy (PDT) is a medical treatment that uses photosensitizing agents, along with light irradiation, to produce cytotoxic species that can destroy targeted cells, often used in the treatment of various cancers and other conditions.
Healthcare providers and medical practitioners who administer photodynamic therapy are typically required to file documentation related to PDT treatments. This may also include hospitals and clinics providing the therapy.
To fill out the photodynamic therapy documentation, one must gather patient information, treatment details, photosensitizer used, dosage, and outcomes of the therapy. Forms can usually be filled out electronically or on paper as per the relevant guidelines.
The purpose of documenting photodynamic therapy is to track patient treatment, ensure proper billing, monitor outcomes, and maintain regulatory compliance.
Information that must be reported includes patient demographics, treatment date, type of photosensitizer used, light source, treatment site, dosage, treatment protocol, and follow-up outcomes.
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