Description:

RTOG 0920 OPEN Registration Worksheet - Step 2 Radiation Therapy With or Without Cetuximab in Treating Patients Who Have Undergone Surgery for Locally Advanced Head and Neck Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0190014-3FCB-4E42-E040-BB89AD43786E

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0190014-3FCB-4E42-E040-BB89AD43786E

Keywords:
Versions (3) ▾
  1. 12/18/14
  2. 1/9/15
  3. 9/17/21
Uploaded on:

September 17, 2021

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License:
Creative Commons BY-NC 3.0 Legacy
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Head and Neck Cancer NCT00956007 Registration - RTOG 0920 OPEN Registration Worksheet - Step 2 - 3219537v1.0

No Instruction available.

  1. StudyEvent: RTOG 0920 OPEN Registration Worksheet - Step 2
    1. No Instruction available.
Module 1
Is the patient able to continue protocol treatment?
If no, specify the reason the patient cannot continue to Step 2
Module 1
Patient has consented to take part in the Quality of Life Study
If no, provide reason
If the patient agreed to participate in the quality of life component, did the patient agree to participate in Vision Tree?
Disease Type
EGFR Expression
Use of IGRT?

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