Common Contracts

1 similar null contracts

Royal Wolverhampton NHS Trust Wolverhampton Shared Care Agreement Wolverhampton Clinical Commissioning Group
December 2nd, 2020
  • Filed
    December 2nd, 2020

Patient Consent I confirm the risks and benefits of treatment, the baseline tests conducted, the need for monitoring, how monitoring will be arranged, and the roles of the consultant and GP, and my role in shared care have been explained to me. I confirm I have been provided with a copy of this shared care information. I will tell the specialist or GP if I do not have a clear understanding of the treatment. I will share any concerns in relation to the above treatment. I will report any adverse effects to the specialist or GP whilst taking the above treatment. I will inform specialist or GP of any other medication being taken, including over-the-counter products. I will keep the methotrexate monitoring booklet and bring it to all consultations with the GP or at the hospital. Ensure that the results of blood tests are entered into the booklet. I will attend for blood tests at the required interval. I have been made aware that I should avoid conception by using an effective contraceptive

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