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Home > Studies > Studies > Systolic Hypertension in the Elderly Program (SHEP)

Study Documents

Go back to all Study Documents

Index of Forms

PDF Activities of Daily Life (PDF - 380.1 KB)
PDF Annual Clinic Visit (PDF - 3.3 MB)
PDF Annual Medical - Medication - and Habits History (PDF - 1.7 MB)
PDF Baseline Medical History (PDF - 1.8 MB)
PDF Baseline Visit 1 (PDF - 2.1 MB)
PDF Baseline Visit 2 (PDF - 1.1 MB)
PDF Behavioral Evaluation (PDF - 766.0 KB)
PDF CT Scan Coding form for Dementia (PDF - 405.1 KB)
PDF Central Laboratory Results (PDF - 609.6 KB)
PDF Clinic Visit Documentation (PDF - 1.9 MB)
PDF Close-out and Transition (PDF - 216.4 KB)
PDF Compliance Evaluation (PDF - 366.1 KB)
PDF Demographics and Medical History (PDF - 494.1 KB)
PDF Diagnostic Criteria for Depression (PDF - 153.3 KB)
PDF Diagnostical Evaluation for Dementia (PDF - 1.8 MB)
PDF Documentation of Refusal or Lost to Follow-up (PDF - 109.0 KB)
PDF ECG Coding (PDF - 137.1 KB)
PDF Final Report of Death (PDF - 163.3 KB)
PDF Final Report of Morbid Event (PDF - 248.8 KB)
PDF General Well-Being (PDF - 369.6 KB)
PDF Initial Notification of Death (PDF - 112.7 KB)
PDF Initial Notification of Morbid Event (PDF - 236.3 KB)
PDF Local Laboratory Results (PDF - 142.7 KB)
PDF Monitoring of SHEP Deaths (PDF - 143.8 KB)
PDF Monitoring of SHEP Non-Fatal Events (PDF - 288.1 KB)
PDF Neurological Evaluation for Stroke (PDF - 776.1 KB)
PDF Neurological Evaluation for TIA (PDF - 171.5 KB)
PDF Protocol Reveiw and Medical Scheduling Decision (PDF - 305.7 KB)
PDF Randomization Record (PDF - 213.2 KB)
PDF Receipt of Alert Level from Central Laboratory (PDF - 71.1 KB)
PDF Report of Deviation from Protocol (PDF - 108.6 KB)
PDF Report of Missed Quarterly or Annual Visit (PDF - 99.4 KB)
PDF Report of Study Drug Disclosure (PDF - 92.9 KB)
PDF SHEP Satisfaction and Attitude Questionnaire (PDF - 175.8 KB)
PDF Scan Coding form for Stroke (PDF - 641.8 KB)
PDF Short-care form (PDF - 845.2 KB)
PDF Side Effects Questionnaire (PDF - 342.9 KB)
PDF Silent MI (PDF - 142.7 KB)
PDF Social Network Questionnaire (PDF - 613.9 KB)
PDF Transition Telephone Contact Record (PDF - 60.5 KB)
PDF Urine Chlorthalidone Results (PDF - 193.8 KB)
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