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Breast Cancer NCT00068601 Pre-Study - Southwest Oncology Group Ovarian Function Assessment (S0230) - 2170708v3.0 - Southwest Oncology Group Ovarian Function Assessment (S0230)

- 9/1/15 - 1 formulario, 3 itemgroups, 25 items, 1 idioma
Itemgroups: Menstrual cycle, Laboratory Test, CCRR MODULE
Southwest Oncology Group Ovarian Function Assessment (S0230) Goserelin in Preventing Ovarian Failure in Women Receiving Chemotherapy for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA6A9CC-6D74-0D93-E034-0003BA12F5E7

Breast Cancer NCT00068601 Pre-Study - Southwest Oncology Group BASELINE ASSESSMENT FORM (S0230) - 2170664v3.0 - Southwest Oncology Group BASELINE ASSESSMENT FORM (S0230)

- 9/1/15 - 1 formulario, 2 itemgroups, 14 items, 1 idioma
Itemgroups: BASELINE CONDITIONS, CCRR MODULE
Southwest Oncology Group BASELINE ASSESSMENT FORM (S0230) Goserelin in Preventing Ovarian Failure in Women Receiving Chemotherapy for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA4E960-6745-0470-E034-0003BA12F5E7

Breast Cancer NCT00659373 Pre-Study - Prior Treatment History Form (Form 24-H) - 2074666v3.0 - Prior Treatment History Form (Form 24-H)

- 9/1/15 - 1 formulario, 3 itemgroups, 25 items, 1 idioma
Itemgroups: BEFORE DIAGNOSIS: CHEMOPREVENTION FOR BREAST CANCER, PRIOR CHEMOTHERAPY REGIMEN FOR BREAST CANCER, CCRR MODULE
Prior Treatment History Form (Form 24-H) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1274765-836E-53AF-E034-0003BA12F5E7

Breast Cancer NCT00513292 Pre-Study - Z1041: Tumor Measurement Report Baseline (TMR-B) - 2533540v1.0 - Z1041: Tumor Measurement Report Baseline (TMR-B)

- 9/1/15 - 1 formulario, 5 itemgroups, 24 items, 1 idioma
Itemgroups: Header Module, Breast Target Lesions, Axilla Target Lesions, Non-Target Lesions, Footer
Z1041: Tumor Measurement Report Baseline (TMR-B) Combination Chemotherapy and Paclitaxel Plus Trastuzumab in Treating Women With Palpable Breast Cancer That Can Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=21155A6B-93AC-0F34-E044-0003BA3F9857

Cervical Cancer NCT01101451 Pre-Study - GOG-0263: Fast Fact Sheet for Protocol 0263 (Cervix) - 3206071v1.0 - GOG-0263: Fast Fact Sheet for Protocol 0263 (Cervix)

- 9/1/15 - 1 formulario, 3 itemgroups, 45 items, 1 idioma
Itemgroups: Patient Information, Eligibility 1, Provide comments about this Fast Fact Sheet
GOG-0263: Fast Fact Sheet for Protocol 0263 (Cervix) Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F0539D1-8FD7-03D5-E040-BB89AD4378BD

Cervical Cancer NCT01101451 Pre-Study - Gynecologic Oncology Group Pretreatment Summary Form (Form DR) - 2728315v1.0 - Gynecologic Oncology Group Pretreatment Summary Form (Form DR)

- 9/1/15 - 1 formulario, 3 itemgroups, 24 items, 1 idioma
Itemgroups: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS
Gynecologic Oncology Group Pretreatment Summary Form (Form DR) Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=45832E79-C605-72FC-E044-0003BA3F9857

Cervical Cancer NCT01266460 Pre-Study - GOG-0265: Fast Fact Sheet for Protocol 0265 (Cervix) - 3185379v1.0 - GOG-0265: Fast Fact Sheet for Protocol 0265 (Cervix)

- 9/1/15 - 1 formulario, 3 itemgroups, 73 items, 1 idioma
Itemgroups: Patient Information, Eligibility 1, Provide comments about this Fast Fact Sheet
GOG-0265: Fast Fact Sheet for Protocol 0265 (Cervix) Vaccine Therapy in Treating Patients With Persistent or Recurrent Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A9974A7-54D8-82CF-E040-BB89AD431753

Endometrial Cancer NCT00063999 Pre-Study - Pre-Treatment Summary Form, GOG-0209, Form DR - 2451160v1.0 - Pre-Treatment Summary Form, GOG-0209, Form DR

- 9/1/15 - 1 formulario, 3 itemgroups, 23 items, 1 idioma
Itemgroups: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS
Pre-Treatment Summary Form, GOG-0209, Form DR Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC6A86E-9AAD-737C-E044-0003BA3F9857

Cervical Cancer NCT00057928 Pre-Study - SOUTHWEST ONCOLOGY GROUP S0227 ADVANCED CERVICAL CARCINOMA PRESTUDY FORM - 2056878v3.0 - SOUTHWEST ONCOLOGY GROUP S0227 ADVANCED CERVICAL CARCINOMA PRESTUDY FORM

- 9/1/15 - 1 formulario, 6 itemgroups, 29 items, 1 idioma
Itemgroups: Header, DISEASE DESCRIPTION AT DIAGNOSIS, PRIOR TREATMENT RELATED TO THIS CANCER, DISEASE DESCRIPTION AT STUDY ENTRY, Comments, CCRR MODULE
SOUTHWEST ONCOLOGY GROUP S0227 ADVANCED CERVICAL CARCINOMA PRESTUDY FORM S0227 Comparison of Cisplatin Combined With Either Paclitaxel or Gemcitabine in Treating Patients With Recurrent, Persistent, or Metastatic Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C2988B-9167-372F-E034-0003BA12F5E7

Cervical Cancer NCT01267253 Pre-Study - GOG-0227G: Fast Fact Sheet for Protocol 0227-G (Cervix) - 3181753v1.0 - GOG-0227G: Fast Fact Sheet for Protocol 0227-G (Cervix)

- 9/1/15 - 1 formulario, 3 itemgroups, 93 items, 1 idioma
Itemgroups: Patient Information, Eligibility 1, Provide comments about this Fast Fact Sheet
GOG-0227G: Fast Fact Sheet for Protocol 0227-G (Cervix) Brivanib in Treating Patients With Persistent or Recurrent Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=994603C2-7E97-D813-E040-BB89AD432944

Fallopian Tube Cancer NCT00951496 Pre-Study - Gynecologic Oncology Group Pre-Treatment Summary Form (Form DR) - 2757969v1.0 - Gynecologic Oncology Group Pre-Treatment Summary Form (Form DR)

- 9/1/15 - 1 formulario, 3 itemgroups, 23 items, 1 idioma
Itemgroups: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS
Gynecologic Oncology Group Pre-Treatment Summary Form (Form DR) 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=4F539833-2C57-6522-E044-0003BA3F9857

Southwest Oncology Group Medical Conditions Questionnaire

- 3/7/15 - 1 formulario, 3 itemgroups, 36 items, 1 idioma
Itemgroups: SWOG clinical trial administrative data, Medical Conditions, CCRR MODULE
Southwest Oncology Group Medical Conditions Questionnaire Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A4CF6FCD-888E-36E1-E034-080020C9C0E0

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