Raynaud's Treatment Study Data Collection Forms
Index of Forms

 

Record Format
1) Biofeedback audiotape review PDF
2) Patient review PDF
3) Self efficacy PDF
4) Self efficacy (medication) PDF
5) Close out PDF
6) Patient screening PDF
7) Screening PDF
Medical evaluation PDF
9) Non-randomization report PDF
10) Pre-Nielson test information PDF
11) Quality of life PDF
12) Treatment assessment PDF
13) Treatment assessment biofeedback PDF
14) Raynaud's attack booklet PDF
15) Core Lab specimen PDF
16) Health self report PDF
17) Clinical monitoring PDF
18) Interim follow-up PDF
19) Quality of life follow-up PDF
20) Missed visit PDF
21) Drug restart PDF
22) Medication compliance PDF
23) Baseline vital signs PDF
24) Drug distribution PDF
25) Inactive patient PDF
26) Treatment restart PDF

 






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