STANFORD CANCER CENTER Patient Treatment Organizer
STANFORD CANCER CENTER
Patient Treatment Organizer
Dear Patient,
We have designed this binder to help you organize the personalized materials about your treatment, appointments, medications, and other vital information. I You can use this binder to write notes, questions, or concerns that you may have between your appointments. Bring this with you to your appointments so you can track your health and organize your information. I As partners in your care, we want you to have the most recent information so you can make the best informed decisions. Sometimes the information may seem confusing. Feel free to ask us questions or seek clarification. I In addition to your physicians and nurses, we have a team of people committed to making you comfortable and to helping you through your treatment. Our Cancer Patient Concierge, located in the atrium on the first floor, is an excellent resource for information and assistance. Our Health Library, also on the first floor, is a free consumer health library that provides scientifically-based medical information. I This can be a difficult time for you and your family. Our team is ready to make your experience as comfortable as possible.
Thank you, Stanford Cancer Center Staff
Keep track of the treatment plan prescribed for you.
DOCTOR: NURSE: CLINIC:
PHONE: PHONE: PHONE:
Treatment my treatment plan
MY TREATMENT: NOTES:
FREQUENCY:
MY TREATMENT: NOTES:
FREQUENCY:
MY TREATMENT: NOTES:
FREQUENCY:
STANFORD CANCER CENTER
Treatment medications
This form will assist you in keeping track of the medications that are prescribed for you.
PHARMACY: ADDRESS: PHONE:
WEBSITE: FAX:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE:
WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE:
STANFORD CANCER CENTER
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
MEDICATION: REASON PRESCRIBED:
DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE: DOSAGE:
WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: WHEN TO TAKE: Printed on 100% post-consumer recycled paper, with vegetable-based inks.
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