Biologic Specimen and Data Repository Information Coordinating Center

Assessment of Blindness Questionnaire (PDF - 191.5 KB)
Baseline Interview and Examination (PDF - 2.1 MB)
Clinical Center Cause of Death Form (PDF - 1.4 MB)
Clinical Center Laboratory and X-Ray Results (PDF - 224.4 KB)
Congestive Heart Failure (PDF - 236.1 KB)
Death Notification (PDF - 224.7 KB)
Determiniation of Eligibility (PDF - 1.3 MB)
ECG Coding Form (PDF - 251.3 KB)
Final Determination of Vital Status (PDF - 185.7 KB)
Follow-up Drug Section (PDF - 748.0 KB)
Follow-up Interview and Examination (PDF - 2.6 MB)
Form for Coding Non-Fatal Events by BHAT NFE Committee (PDF - 1.0 MB)
Hospitalization (PDF - 371.9 KB)
Interim Visit (PDF - 452.4 KB)
Mortality Committee Coding Form (PDF - 1.2 MB)
New Cardiac Event (PDF - 666.9 KB)
Patient Closeout Visit Questionnaire (PDF - 254.5 KB)
Post-Trial Assessment (PDF - 714.9 KB)
Qualifying Myocardial Infarction and New Cardiac Events (PDF - 328.0 KB)
Qualifying Myocardial Infarction (PDF - 1.5 MB)
Report of Study Drug Disclosure (PDF - 203.4 KB)
Result of Analysis of Blood Samples by Bioscience Laboratories (PDF - 645.4 KB)
Stroke (PDF - 235.5 KB)