About Medicine OnLine Medicine OnLine Home PageCancer LibrariesDoseCalc OnlineOncology News
Cancer ForumsMedline SearchCancer LinksGlossary



Camptosar

Patient Worksheet

Treatment Appointments

Date

Treatment

Place

Ride













If you need to reschedule an appointment, please call _______________ as soon as possible.

Health Record

You can use this form to note any problems that you are having. Please bring this form as a reminder when you visit your doctor or nurse. Don't wait to report high fever, vomiting, persistent diarrhea (lasting more than 3 days), or any health emergency.

Date

Symptoms or Questions










In Case of an Emergency

Physician:
Telephone numbers:
Hospital:
Ambulance/emergency squad:

Current cancer chemotherapy




Other current medications




Special instructions






CALL DAY OR NIGHT:____________________

Top - Colon Library Index - Camptosar Index

 

About Medicine OnLine Medicine OnLine Home PageCancer LibrariesDoseCalc OnlineOncology News
Cancer ForumsMedline SearchCancer LinksGlossary