Dumfries & Galloway Health Board
Prescribing Support Team

ADTC Forms Individual Patient Treatment Requests


IPTR - data collection form

Data collection form to be submitted to ADTC (IPTR sub committee) through the Medical Director's office.

9 Jul 12

IPTR decision form

This data collection sheet captures all information considered regarding an individual patient treatment request for licensed medicines which have been assessed by SMC and NOT RECOMMENDED for use within NHS Scotland.

9 Jul 12

Individual Patient Treatment Requests (IPTRs) - A Framework

This document details the framework for handling IPTRs in NHS Dumfries & Galloway.

17 Apr 12

Individual Patient Treatment Request (IPTR) Evidence Briefing Template

This document contains advice on what information should be included in an Individual Patient Treatment Request.

17 Apr 12

A patient's guide to Individual Patient Treatment Requests (IPTRs)

This a guide for patients about Individual Patient Treatment Requests, the reasons for them and the process that they follow.

17 Apr 12