The course assessment information when the course is completed, and the patient is evaluated or taken off treatment. Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 7/15/17 7/15/17 - Martin Dugas
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July 15, 2017

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Creative Commons BY-NC 3.0
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CCR 2011 Template

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  1. StudyEvent: Course Assessment
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Course Assessment
Dose Change from TAC Entered on Course Initiation CRF?
Course Disposition
Response Assessment
Any Adverse Events in this Course?

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