Description:

North Central Cancer Treatment Group N0147 Preregistration Screening Failure Form Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=57BB37FE-4136-38E6-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=57BB37FE-4136-38E6-E044-0003BA3F9857

Keywords:
Versions (2) ▾
  1. 8/27/12
  2. 1/9/15
Uploaded on:

January 9, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT00079274 Registration - North Central Cancer Treatment Group N0147 Preregistration Screening Failure Form - 2787580v1.0

NOTE: If the patient is not proceeding to Registration/Randomization, the site must FAX this form to the NCCTG Operations Office, Attention: N0147 Quality Control Specialist (507-284-1902)

Header
Are data amended (If yes, highlight amended areas)
Preregistration Screening Failure
Primary reason screening failed (check one)

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