CTEP Branches and Offices
Patient/Caregiver Ad Hoc Education Template
This standardized template is designed to provide simple instructions to patients and caregivers for the safe ad hoc preparation and administration of investigational agents in a home setting. The template can be downloaded and used for non-CTEP IND agents or commercial agents to fulfill the institutions needs.
- Patient/Caregiver Ad Hoc Sample Form (MS Word)
- Patient/Caregiver Ad Hoc Template (MS Word)
If you have any difficulty opening or completing the template, contact the Pharmaceutical Management Branch by telephone (240-276-6575) Monday through Friday between 8:30 am and 4:30 pm (ET) or email PMBafterhours@mail.nih.gov anytime.
About the Branch Chief
Mr. Hall received his undergraduate pharmacy degree from the Massachusetts College of Pharmacy in 1975. He was awarded a Master of Science in Business Organizational Management from the University of LaVerne, California in 1991. In 1995, he completed an American Society of Hospital Pharmacy (ASHP) – accredited general pharmacy practice residency at the National Naval Medical Center, Bethesda, Maryland. More…