AMC-076 HPV On-Study Form (ONS) NCT01164722 Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia Source Form: NCI FormBuilder:


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  1. 5/22/15
  2. 6/3/15
  3. 7/8/15
  4. 7/8/15
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July 8, 2015

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Creative Commons BY-NC 3.0 Legacy
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AMC-076 HPV On-Study Form (ONS) NCT01164722

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  1. StudyEvent: AMC-076 HPV On-Study Form (ONS)
    1. No Instruction available.
Header Module
HIV Status
CDC HIV Risk Group
Condyloma Status
History of anal, perianal, or genital condyloma (If "Yes", answer the following)
History of penile or genital condyloma
History of perianal condyloma
History of intraanal condlyoma

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