Description:

Registration Worksheet - 2169258v3.0 CALGB 90104 Registration Worksheet Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BE1B0241-438C-6AC6-E034-0003BA12F5E7

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BE1B0241-438C-6AC6-E034-0003BA12F5E7
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Versions (2)
  1. 8/26/12 8/26/12 -
  2. 7/30/15 7/30/15 - Martin Dugas
Uploaded on:

July 30, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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Registration Bladder Cancer CALGB 90104 NCT00014534

English
Details

No Instruction available.

1 forms  
  1. StudyEvent: CALGB 90104 Registration Worksheet
    1. No Instruction available.
Initial Patient Consent For Specimen Use
Patient's Initial Consent given for specimen use for research on the patient's cancer?
Patient´s Initial Consent given for specimen use for research unrelated to the patient´s cancer?
Patient's Initial Consent given for further contact regarding specimen?
Ccrr Module For Calgb 90104 Registration Worksheet
DD.MM.YYYY
Gender
Race
6 more items in the detailed view.
cm
kg
m²
Method of Payment
7 more items in the detailed view.
T status
Lymph node involvement
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