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Biologic Specimen and Data Repository Information Coordinating Center
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Multicenter Study of Hydroxyurea (MSH)
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Index of Patient Followup Forms Years 6-9 - Extension 1
Form 41-Demographics (PDF - 140.5 KB)
Form 42-Health Status Questionnaire (PDF - 360.9 KB)
Form 43-Medical Review and Examination (PDF - 143.5 KB)
Form 44-Hydroxyurea Review (PDF - 796.7 KB)
Form 45-Protocol Review and Collection of Samples (PDF - 263.3 KB)
Form 46-Offspring Review (PDF - 147.3 KB)
Form 47-Chest X-Ray Summary (PDF - 80.6 KB)
Form 48-ECG Summary (PDF - 60.2 KB)
Form 49-Local Laboratory Report (PDF - 153.1 KB)
Form 50-Patient Event (PDF - 113.8 KB)
Form 66-Status of Patients Not Enrolled (PDF - 102.5 KB)
Form 67-Arterial Blood Gases Analysis (PDF - 64.9 KB)
Form 68-Spirometry Data Form (PDF - 75.0 KB)
Form 69-HRCT of the Chest (PDF - 96.0 KB)
Form 70-Patient Enrollment (PDF - 125.8 KB)