Beschrijving:

Southwest Oncology Group Registration Form (S0500) NCT00382018 Treatment Decision Making Based on Blood Levels of Tumor Cells in Women With Metastatic Breast Cancer Receiving Chemotherapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07BE67DB-E4E8-6CBC-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07BE67DB-E4E8-6CBC-E044-0003BA3F9857
Trefwoorden:
  1. 26-08-12 26-08-12 -
  2. 09-01-15 09-01-15 - Martin Dugas
  3. 09-01-15 09-01-15 - Martin Dugas
  4. 27-06-15 27-06-15 -
  5. 20-09-21 20-09-21 -
Geüploaded op:

20 september 2021

DOI:
Voor een aanvraag inloggen.
Licentie :
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Southwest Oncology Group Registration Form (S0500) NCT00382018

No Instruction available.

  1. StudyEvent: Southwest Oncology Group Registration Form (S0500)
    1. No Instruction available.
Header
Patient demographics
Patient Gender
Method of Payment
Patient's Ethnicity
Patient's Race (select all that apply)
Miscellaneous Patient Information
My specimens may be kept for use in research to learn about, prevent, treat or cure cancer
My specimens may be kept for use in research about other health problems (for example: diabetes, Alzheimer's disease, or heart disease).
Someone may contact me in the future to ask me to allow other uses of my specimens
I agree to allow my study doctor, or someone approved by my study doctor, to contact me regard future research involving my participation in this study
Stratification Factors
HER-2 Status
Disease Type

Similar models

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial