Ulcerative+colitis-moderately+and+severely+active+-+G.doc


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Ulcerativecolitis-moderatelyandseverelyactive-G2015/16PBRExclusions–FundingApplicationforInfliximab,Adalimumab,GolimumabandVedolizumabfortreatingModeratelytoSeverelyActiveUlcerativeColitis(Finalversion1:Lastupdated16/07/2015)Beforeprovidingpatientidentifiabledataonthisform,pleaseconfirmthatthepatient(orinthecaseofaminororvulnerableadultwiththeparent/legalguardian/carer)Gand/:YesIfthereismorethanoneNICE-approvedtreatmentavailable,(ountadministrationcosts,dosageandpriceperdose):Trust:GPName:PatientHospitalNumber:GP/Practicecode:PatientBirthYear:(yyyy)RequestingConsultant:PatientStatus:(*select1option)NHSPrivateOverseasConsultantContactDetails:PracticePostcode:Gs/?*Foracuteexacerbationsofacuteseverelyactiveulcerativecolitisuse‘FundingapplicationforInfliximabforacutequestionsisNO,pleaseconsiderifexacerbationsofUlcerativeColitis’(NICETA163)*,orcannottolerate,,afullindividualfundingrequest(IFR)Pleaseindicatethatthepatienthaseithernotresponded/(tickwhichapplies)datedateThismaybeobtainedfromtheontreatments(providedetailsincluding

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