The ASCO Cancer Treatment Plan and Summary is a brief record of your cancer treatment. The forms provide a convenient way to store information about your cancer, cancer treatment, and follow-up care. The forms are also meant to give basic information about your cancer treatment and follow-up care to future health-care providers.

Information your oncologist can enter on the treatment summary includes the dose of chemotherapy you received, the specific drugs that were used, the number of cycles that were completed, and any additional treatment that was given (such as radiation therapy or hormone therapy).

The Breast Cancer Survivorship Care Plan and Colon Cancer Survivorship Care Plan were developed to help doctors and their patients develop a customized follow-up care plan once treatment is nearing completion. The recommendations for follow-up tests are based on the best available scientific evidence from ASCO's clinical practice guidelines, which are summarized in the ASCO Patient Guides.

All of the forms can be printed by clicking on the links below. None of these forms are intended to provide a complete medical record, and no single treatment plan or summary is appropriate for all patients. Patients are encouraged to discuss all treatment options and follow-up care plans with their doctor. The ASCO Treatment Plan and Summary should be used with the guidance of your doctor. Learn more about the ASCO Treatment Plans and Summaries.

Cancer Adjuvant Treatment Plan and Summary (General Form)

Breast Cancer Adjuvant Treatment Plan and Summary

Breast Cancer Survivorship Care Plan

ASCO Patient Guide: Follow-Up Care for Breast Cancer

Colon Cancer Adjuvant Treatment Plan and Summary

Colon Cancer Survivorship Care Plan

ASCO Patient Guide: Follow-Up Care for Colorectal Cancer

Cancer.Net Feature: ASCO Expert Corner: ASCO Cancer Treatment Plans and Summaries

Look for additional treatment plans and summaries for additional types of cancer soon.