ORAL ONCOLYTIC WELCOME LETTER

This template will introduce the patient to your oral oncolytic oral care team, an explanation of the process to access medication, and key definitions of related terms.  This form can be edited to meet the needs of your department.

FIRST FILL TRACKING FORM

This template is to assist with tracking patients starting new start oral oncolytic from initial order to start.

AFTER THE FIRST FILL TRACKING FORM

This template is to assist with tracking patients after start of oral oncolytic treatment.

ORAL THERAPY PATIENT FOLLOW-UP TEMPLATE (PAGE 1)

This template contains key documentation criteria for follow up assessments of patient on oral oncolytics. It may be downloaded, edited, and used as a resource for developing a documentation flow sheet for oral adherence and toxicity evaluations into your practice’s EHR system.

ORAL THERAPY PATIENT FOLLOW-UP TEMPLATE (PAGE 2)

This template provides CTACE grading scale for the most common adverse events of oral oncolytics.

PLAN OF CARE TREATMENT GUIDE

This template includes key elements of drug specific instructions for the patient.  This form intended to be provided to patient at initial formal education session.  This document follows the guidelines of ASCO and NCODA, and can be edited to work with any type of treatment regimen.

ORAL ONCOLYTIC NEW START CHECKLIST

This start checklist is designed to make sure that no step is missed when starting a patient on a new oral oncolytic.