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0126 Forms

0126 Phase III Prostate 3D / IMRT
  1. Complete Forms Package
  2. A5 Demographic Data Form
  3. A5 Instructions
  4. I1 Initial Evaluation Form
  5. *PQ International Index of Erectile Function Questionnaire (IIEFQ)
  6. *FA Functional Alterations due to Changes in Elimination (FACE)
  7. *SP Spitzer Quality of Life Index (SQLI)
  8. T1 Radiotherapy Form
  9. FS Initial Follow-up Form
  10. F1 Follow-up Form
    (0126 F1 form is available for electronic data submission)
  11. Dosimetry Transmittal Form
  12. **T2 Digital Patient Submission Information
    (**obtain form from ATC Website http://atc.wustl.edu)
  13. Pathology Submission Form
  14. FF Long Term Follow-up Form
  15. Forms Package Index





  RTOG Meeting | June 24-27 2004 Capital Hilton, Washington D.C.