IBCSG Long Term Follow-Up Medication Form (18-LTF-M) Source Form: NCI FormBuilder:


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  1. 8/26/12
  2. 6/20/17
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June 20, 2017

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IBCSG Long Term Follow-Up Medication Form (18-LTF-M)

Instructions: This form is to be completed if the patient received bone active medication, non-steroidal, anti-inflammatory drug or extended adjuvant therapy during this follow-up period. Use minus one (-1) to indicate that an answer is unknown, unobtainable or not done

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Long Term Follow-up Medication
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