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Ga-DOTAXXX Template Case Report Forms CRFs Table of Contents I. II. IV. V. VI. Screening Visit Imaging Baseline Visit Adverse Event Baseline 24-hour Follow-Up Call Imaging Follow-Up Visit Adverse Event Follow-Up Drug Record The Use of DOTA-XXX. Study insert site info/logo Patient Name first last Pt. Study ID Date of Visit dd/Mmm/yyyy // Informed Consent Signed Date // SECTION 1. PHYSICAL EXAM Height in kg System Normal Time am pm Blood Pressure lb cm dd/Mmm/yyyy Heart Rate Respiration /...
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