Columbia informed consent actemra online: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your account number in the designated field at the top of the form.
Read through the sections detailing what ACTEMRA is and how it works. This information is crucial for understanding your treatment.
In the section titled 'What should I tell my doctor before treatment?', ensure you check all relevant boxes that apply to your medical history.
Review the important information about side effects. Make sure to acknowledge these by signing in the certification area.
Finally, provide your signature, printed name, and date at the bottom of the form. Ensure all fields are completed accurately before submission.

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