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KUMC Data and Safety Monitoring Executive Committee Mail Stop 2014
G004 Sudler 3901 Rainbow Boulevard
Kansas City, KS 66160
Office: 913.588.0942 TDD: 913.588.7963 Fax: 913.588.1224 Toll Free: 877.588.5757 Web Site Contact:
Sharon Cooper
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Data and Safety Monitoring Executive Committee
Forms
Word
PDF
Revised/Effective Date
Adverse Event Reporting Form
05/22/2006
Adverse Event Summary and Baseline Demographics and Relevant Clinical Characteritics, by case
(Microsoft Excel)
02/15/2006
Patient Enrollment Summary for Device Studies
02/15/2006
Patient Enrollment Summary for Drug Studies
02/15/2006
Reviewer's Worksheet
03/23/2007
Investigator's Interim Data and Safety Monitoring Report
03/23/2007
Monitoring Review Process Flow Chart
02/23/2007
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