Treatment Completion Form, Form Q0, GOG-0219 Cisplatin and Radiation Therapy With or Without Tirapazamine in Treating Patients With Cervical Cancer Source Form: NCI FormBuilder:


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  2. 1/8/15
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January 8, 2015

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Cervical Cancer NCT00262821 Off Treatment - Treatment Completion Form, Form Q0, GOG-0219 - 2302649v3.0

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  1. StudyEvent: Treatment Completion Form, Form Q0, GOG-0219
    1. No Instruction available.
Header Module
Treatment Schedule
Off-treatment Reason
Reason treatment ended (check only one)
Will patient receive further treatment?
Footer Module

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