Description:

Gynecologic Oncology Group Registration Form (Form R) Bevacizumab and Intravenous or Intraperitoneal Chemotherapy in Treating Patients With Stage II, Stage III, or Stage IV Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4F54A394-F161-2250-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4F54A394-F161-2250-E044-0003BA3F9857

Keywords:
Versions (2) ▾
  1. 9/19/12
  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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Fallopian Tube Cancer NCT00951496 Registration - Gynecologic Oncology Group Registration Form (Form R) - 2758755v1.0

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  1. StudyEvent: Gynecologic Oncology Group Registration Form (Form R)
    1. No Instruction available.
Header Module
Tracking Information
Demographic Information
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Patient Ethnicity
Method of payment
cm
Kg
Performance status (Zubrod)
Has the patient had any prior cancer diagnosed?
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