ALR-FRM-003: Immunotherapy dose and observation record

Standards › Standard 53 › Forms

Form · ALR-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 53.4

Purpose

Records each immunotherapy dose, the observation time after it, and any reaction.

How to complete

• Record the dose on the escalation schedule.
• Record the observation time and the result.
• Record any reaction and the treatment given.

Checks

Check	Entry
Dose and schedule step	Yes
Observation time and result	Yes
Reaction and treatment given (yes or no)	Yes
Given by and date	Yes

Evidence

Reference	Note
E-006	ASF Policy Framework v1.2. Adapted.
E-009	ASF Expert Committee consensus.

Change history

Version	Date	What changed	Approval
1.0	the date of approval	First version	set Expert Committee approval

E-learning for this document

• Allergy & Immunotherapy Safety Endorsement (AMB-18)

References

• Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
• Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)