ASCO Templates for Use in Practice

Several types of non small cell lung cancer treatment plan and summary templates are provided below. These forms include a plan component, to be completed prior to chemotherapy treatment, and a summary to be completed following chemotherapy.

1. Adjuvant Non Small Cell Lung Cancer Treatment Plan and Summary templates – choose any of the following formats:

• Adjuvant Non Small Cell Lung Cancer Treatment Plan and Summary-Modifiable Microsoft Word document: this version is best printed and filled in by hand.
• Adjuvant Non Small Cell Lung Cancer Treatment Plan and Summary-Microsoft Word form: this form is best completed by typing in content electronically. The completed template can be saved and/or printed.
• Adjuvant Non Small Cell Lung Cancer Treatment Plan and Summary-Microsoft Excel: this version is a spreadsheet with text fields and drop down menus, to be completed electronically. The completed template can be saved and/or printed.

2. Advanced Non Small Cell Lung Cancer Treatment Plan and Summary templates- choose any of the following formats:

• Advanced Non Small Cell Lung Cancer Treatment Plan and Summary- Modifiable Microsoft Word document: this version is best printed and filled in by hand.
• Advanced Non Small Cell Lung Cancer Treatment Plan and Summary- Microsoft Word form: this form is best completed by typing in content electronically. The completed template can be saved and/or printed.
• Advanced Non Small Cell Lung Cancer Treatment Plan and Summary- Microsoft Excel: this version is a spreadsheet with text fields and drop down menus, to be completed electronically. The completed template can be saved and/or printed.

Lung Development Work Group Roster

Related ASCO Resources

Clinical Guidelines for Lung Cancer - This page includes two non small cell guidelines

Clinical Tools and Resources for Lung Cancer - This page includes a summary slide set, clinical tools and a patient guide for a lung cancer guideline

Information About Use of Treatment Plans and Summaries
The treatment summary is not intended to be, and should not be considered, a substitute for written or verbal communication, physical examination and history, or review of the complete medical record. Because the treatment summary will summarize parts of your patient’s medical record and treatment plan, it should be treated as confidential and used or disclosed only in accordance with federal and state privacy laws.

No single treatment plan or summary can be appropriate for all patients. Treating oncologists assume responsibility for tailoring the treatment summary to meet individual patient’s needs.

Use of the treatment summary is entirely voluntary. Use of this tool does not imply ASCO’s endorsement of any specific treatment or any product. ASCO is not responsible for any inaccurate or inappropriate use of the treatment summary