97106 Appendices

Appendices by Visit:   Baseline  :  Week 4, 8, and 12  :  Combined Appendices

  1. Data Submission Checklist
  2. Eligibility Checklist/ Registration Form
  3. Performance Status
  4. Medication Diary
  5. Medwatch
  6. Flow Sheet
  7. Toxicity Assessment Sheet
  8. Screening Questionnaire
  9. FSFI
  10. FACT-G
  11. Current Medications
  12. Telephone Contact Sheet

    Recruitment Letter
    Study Flyer

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Quick Reference

Research Base

Fax 336-716-6275
Phone 336-716-0891

2000 West First Street
Protocol Information Office
Suite 401
Winston-Salem, NC 27104
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Last Updated: 09-01-2010
USNWR 2012-2013Best Doctors 2011-2012 AwardMagnet Hospital RecognitionIndependent Measures of Excellence298 Wake Forest Baptist Physicians Named to Prestigious 2013 Best Doctors

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