Description:
CALGB: Y-ME COUNSELOR TELEPHONE CONTACT FORM Comparison of Combination Chemotherapy Regimens in Treating Older Women Who Have Undergone Surgery for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50CF1AD-5DEE-3887-E034-080020C9C0E0
Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A50CF1AD-5DEE-3887-E034-080020C9C0E0Keywords:
Versions (2)
- 12/12/14 12/12/14 - Martin Dugas
- 4/13/21 4/13/21 - Dr. rer. medic Philipp Neuhaus
Uploaded on:
April 13, 2021
DOI:
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Breast Cancer NCT00024102 Quality of Life - CALGB: Y-ME COUNSELOR TELEPHONE CONTACT FORM - 2044777v3.0
INSTRUCTIONS: The Y-ME counselor will complete and submit this form as required by the protocol. Information in the upper right box muse be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Retain a copy for your records and send the original to the CALGB Data Management Center.
- StudyEvent: CALGB: Y-ME COUNSELOR TELEPHONE CONTACT FORM