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Pre-Printed Orders for Take-Home Cancer Drugs

Pre-printed orders for prescribing take-home cancer drugs may help reduce errors that can sometimes occur with handwritten and verbal orders. They are protocol-specific forms that simplify and standardize the prescribing process. Learn more about the recommended criteria of a pre-printed order.

Customized Pre-Printed Orders

If you would like information about customizing the pre-printed order forms for your centre, please contact the Drug Formulary Team at [email protected].

Disclaimer

These pre-printed orders are available as a reference for the development of institution-specific pre-printed orders. The person using the order is responsible for adapting the materials accurately. Prescribers must use clinical assessment and judgment to make sure that the treatment and doses are appropriate for their patients. 

Pre-Printed Orders

177 items
Cancer Type: Hematologic, Multiple Myeloma
Intent: Palliative

Jun 2017
[PDF]

BOSU

Cancer Type: Hematologic, Leukemia - Chronic Myeloid (CML)
Intent: Palliative

Nov 2017
[PDF]

BSRL

Cancer Type: Genitourinary, Prostate
Intent: Neoadjuvant, Adjuvant, Palliative

Oct 2016
Cancer Type: Genitourinary, Prostate
Intent: Palliative

Jan 2018
[PDF]

CAPE

Cancer Type: Gastrointestinal, Colorectal, Small bowel and appendix
Intent: Adjuvant, Palliative

Apr 2018
[PDF]

CAPE

Cancer Type: Breast
Intent: Palliative

Apr 2018
[PDF]

CAPE

Cancer Type: Gastrointestinal, Pancreas
Intent: Palliative

Apr 2018
[PDF]

CAPE

Cancer Type: Head and Neck
Intent: Palliative

Apr 2018
[PDF]

CAPE

Cancer Type: Breast
Intent: Adjuvant

Apr 2018
Cancer Type: Gastrointestinal, Colorectal
Intent: Neoadjuvant

Apr 2018
Cancer Type: Gastrointestinal, Hepatobiliary / Liver / Bile Duct
Intent: Adjuvant

Apr 2018
Cancer Type: Gastrointestinal, Small bowel and appendix
Intent: Neoadjuvant

Apr 2018