Biologic Specimen and Data Repository Information Coordinating Center

Community Survey Telephone Interview (PDF - 104.9 KB)
Emergency Department Log (PDF - 14.7 KB)
Emergency Department Record Abstract (PDF - 31.0 KB)
Emergency Department Telephone Follow-up Survey (PDF - 116.8 KB)
In-Patient Medical Record Abstract (PDF - 31.3 KB)
In-Patient Telephone Follow-up Survey (PDF - 115.7 KB)
Patient Locator (PDF - 15.3 KB)