Choose this option if your patient has had an initial consultation and is actively in a VOP-designed chemotherapy protocol.
Every recheck consultation will require specific information that your team will need to collect while they are in the hospital, including history update, TPR, weight, and CBC. Please download the file below, to print and have your staff complete the form to make sure they have everything you need to submit the recheck consult form.
Every recheck consultation will require specific information that your team will need to collect while they are in the hospital, including history update, TPR, weight, and CBC. Please download the file below, to print and have your staff complete the form to make sure they have everything you need to submit the recheck consult form.
VOP requires all supporting documentation to be submitted in an electronic format. This online form allows you to upload electronic copies of all medical records and labwork in a drag-and-drop format. VOP does not allow Email or Fax submissions at this time.
Information required to complete this form:
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