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Forms and Resources
 

Instructions for downloading:

Listed below you will find the forms you will need to register yourself and/or your patient(s) in the Gen-Clozapine ACCESS Network.

Please choose the appropriate form(s) and save the pdf. file to your computer. Once you have printed and completed the form(s), return them via fax to 1-800-497-9592.

Adobe Acrobat is required to view and print these files. If you do not have Acrobat installed on your computer, please click the link below to download and install the software.
 

  Patient Registration Form A Guide for Patients and Families
  Hematological Guidelines Treatment Plan and Guide
  Protocol for Outpatient Starts Discharge Checklist
  Gen-Clozapine Drug Interactions GenCAN Patient Care Funding Request
 

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