- Data Submission Checklist
- Eligibility Checklist/Registration Form
- Performance Status Criteria
- Patient Medication Diary
- Flow Sheet TAS Addendum
- Study Parameters Table
- International Index of Erectile Function*
- Sexual Encounter Profile (SEP)*
- Expanded Prostate Cancer Index Composite (EPIC-26) Short Form*
- Global Efficacy Questions*
- Telephone Contact Form
- Current Medication Form
- Patient Recruitment Letter
- Patient Flyer
*1.To obtain these copyrighted forms, 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 98110 drop-down box on the right to choose the form.
7. Click on “98110 Forms” at left.
Contact June Fletcher-Steede at email@example.com for password information.
Return to 98110 home page