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Instructions:
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Study Forms for Protocol 6668
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Forms Revisions Notices:
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Study Forms Index:
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Case Report Form Set:
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DATA FORMS
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| Registration/Enrollment: |
| A0 Eligibility Checklist and Registration Questions |
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Initial Evaluation Form
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Pre-Treatment Imaging:
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PET Technical Assessment Form
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Local PET Semi-Quantitative Assessment Form
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Post-Treatment Imaging:
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PET Technical Assessment Form
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Local PET Semi-Quantitative Assessment Form
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Treatment Forms:
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Chemotherapy Summary Form
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Radiotherapy Summary Form
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Pathology:
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Pathology Submission Form
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Follow-up Form: Instructions:
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End of Study Form: Instructions:
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Additional Forms
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Protocol Variation Form
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Upstaging Form
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Supplemental Payment Form
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For additional information regarding Adverse Events,
please visit ACRIN’s Protocol Development and Regulatory Resources page: