Quitline Group FolderStudy Completion FormTelephone Contact Form18 Week Encouragement LetterEarly Withdrawal From Treatment Form Declined FormParticipant Contact Form
- Data Submission Checklist
- Eligibility Checklist/Registration Form
- Performance Status Criteria
- Flow Sheet- TAS Sheet - Addendum
- Parameters Table
- Alcohol Use Disorders Identification Test (AUDIT)***
- Baseline Booklet***
- Twelve Week Booklet***
- Twenty-four Week Booklet***
- Usual Care Group Folder
NicAlert Instructions (Please contact Sarah Hahne at email@example.com to request a kit)
Flyer (Provided as a Recruitment Tool If Needed) WFU Flyer
***To obtain these copyrighted forms:
1. Please enter CCRBIS.
2. Click on “login CCRBIS” at the top right of the CCRBIS screen.
3. Type Username and Password.
4. Click on “login.”
5. Click on “Information” on the left side of the green bar at the top of the page.
6. Use the 99211 drop-down box on the right to choose the form.
7. Click on “99211 Forms” at left.
Contact June Fletcher-Steede at firstname.lastname@example.org for password information.
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