The banner box needs to be completed for each page.

  1. Provide the Sequence Number from the original form
  2. Provide the CRID, Infusion Date, and Center Number
  3. Today’s Date – is the date you are completing the EC
  4. Provide your initials in the ‘Initials’ box to indicate that you are approving the change

You only need to complete the questions on the form where updates to the data are required. It is helpful to highlight these changes with an arrow or circle, especially if the change is small. Be aware, a change to one question may result in other questions needing to be answered or deleted. Only the page(s) with data changes need to be sent.

Submit the form via the ServiceNow portal.

Last modified: 2019/09/12

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