Melanoma-Follow-up Form Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
Uploaded on:

January 8, 2015

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License :
Creative Commons BY-NC 3.0 Legacy
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Follow-Up - Melanoma-Follow-up Form - 2020198v2.31

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  1. StudyEvent: Melanoma-Follow-up Form
    1. No Instruction available.
Crf Header
Melanoma: Vital Status
Patient's Vital Status
Death Reason
Melanoma: Disease Follow-up Status
Cancer Follow-up Status Ind
Melanoma: Notice Of Progression
Progression Ind
Progression Site
RT Recurrence Site Ind
Melanoma: Non-protocol Therapy
Non-Protocol Therapy Ind
Melanoma: Notice Of New Primary
New Primary Cancer Ind
Melanoma: Long-term Toxicity
Late Adverse Event Ind
Late Adverse Event Term
Allows Documentation Of Any Additional Cooments

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