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Follow-Up - Head and Neck Cancers - Follow Up Form - 2268620v3.0 - Head and Neck Cancers - Follow Up Form

- 09-01-15 - 1 Formulier, 8 Itemgroepen, 59 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Head & Neck: Vital Status, Head & Neck: Disease Follow-Up Status, Head & Neck: Notice of Progression, Head & Neck: Notice of New Primary, Head & Neck: New Adverse Events, Head & Neck: Long-Term Functional Assessment, Head & Neck: Off-Protocol Treatment
Head and Neck Cancers - Follow Up Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D49693D6-CE22-5E44-E034-0003BA12F5E7

Treatment - Head and Neck Cancers - Treatment by Cycle Form - 2268199v3.0 - Head and Neck Cancers - Treatment by Cycle Form

- 08-01-15 - 1 Formulier, 6 Itemgroepen, 41 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Head & Neck: Patient Treatment Assessment, Head & Neck: Treatment Reporting Interval, Head & Neck: Treatment Cycle Information - Systemic Therapy, Head & Neck: Treatment Cycle Information - Radiation Therapy, Comments
Head and Neck Cancers - Treatment by Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D4971610-643B-5B05-E034-0003BA12F5E7

Treatment - Head and Neck Cancers - Treatment Summary Form - 2268818v3.0 - Head and Neck Cancers - Treatment Summary Form

- 08-01-15 - 1 Formulier, 9 Itemgroepen, 95 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Head & Neck: Patient Treatment Assessment, Head & Neck: Treatment Plan, Head & Neck: Surgical Treatment, Head & Neck: Treatment Summary - Radiation Therapy, Head & Neck: Treatment Summary - Chemotherapy Concurrent with Radiation Therapy, Head & Neck: Treatment Summary - Systemic Therapy, Head & Neck: Supportive Care Assessment, Head & Neck: Treatment Schedule - Non-Protocol Cancer Therapy
Head and Neck Cancers - Treatment Summary Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D496F3F7-A64E-62CE-E034-0003BA12F5E7

Head and Neck Cancer NCT00588770 Off Treatment - ECOG Off-Treatment Form - 2502331v1.0 - Off-Treatment Form Head and Neck Cancer ECOG (NCT00588770)

- 07-01-15 - 1 Formulier, 3 Itemgroepen, 24 Data-elementen, 1 Taal
Itemgroepen: Header, Vital Status, Treatment
ECOG Off-Treatment Form Chemotherapy With or Without Bevacizumab in Treating Patients With Recurrent or Metastatic Head and Neck Cancer NCT00588770 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1A096316-A5E7-28A3-E044-0003BA3F9857

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