Biologic Specimen and Data Repository Information Coordinating Center

Addition to Medical History Form (PDF - 12.4 KB)
Annual Clinical Follow-Up Form for Participants (PDF - 30.6 KB)
Annual Clinical Follow-Up Form for Staff (PDF - 34.4 KB)
Annual Clinical Follow-up Form - For completion by Clinician and Clinic Staff (PDF - 182.3 KB)
Annual Clinical Follow-up Form - For completion by Participants (PDF - 155.7 KB)
Bibliography (PDF - 92.1 KB)
Central Reading Liver Biopsy Form (PDF - 228.7 KB)
Clinical Assessment Form (PDF - 75.0 KB)
Clinical Exam Checklist (PDF - 28.1 KB)
Coding CCE Results Letters (PDF - 134.1 KB)
Family Contact Form (PDF - 46.1 KB)
Family Eligibility Form (PDF - 16.2 KB)
Family History Form (PDF - 53.9 KB)
Family One Year Follow-up Form (PDF - 101.1 KB)
Family Post Result Form (PDF - 104.2 KB)
Genotype Acceptor Form (PDF - 22.6 KB)
Genotype Form (PDF - 10.6 KB)
Genotype Test Decliners (PDF - 27.7 KB)
Initial Screening Form - Canada (PDF - 26.9 KB)
Initial Screening Form (PDF - 25.1 KB)
Lab Test Request Form (PDF - 14.6 KB)
List of Forms (PDF - 51.9 KB)
Liver Biopsy Pathology Report Summary Form (PDF - 157.7 KB)
Medical History Form - Canada (PDF - 34.6 KB)
Medical History Form - USA (PDF - 35.9 KB)
Monthly Quantitative Phlebotomy Summary Form (PDF - 17.2 KB)
One Year Follow-up Form (PDF - 107.3 KB)
Participant Contact Information (PDF - 19.0 KB)
Pedigree Form (PDF - 14.2 KB)
Phenotype Form (PDF - 11.6 KB)
Phenotype Test Acceptors (PDF - 23.7 KB)
Phenotype Test Decliners (PDF - 23.8 KB)
Post Result Form (PDF - 118.3 KB)
Selection of Controls (PDF - 11.0 KB)
Timing of CCE (PDF - 17.5 KB)