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University of Rochester Center for Advanced Brain Imaging and Neurophysiologist CABIN Del Monte Institute for Neuroscience The University of Rochester 430 Elmwood Ave Box 278917 Rochester, NY 146278917
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It is a form used for intake of new study participants in a cabin program.
Study coordinators and cabin program administrators are required to file this form.
The form must be completed by providing information about the new study participant, including personal details, medical history, and emergency contact information.
The purpose of this form is to gather necessary information about new study participants in order to ensure their safety and well-being during the cabin program.
Information such as name, age, medical conditions, allergies, emergency contacts, and any special requirements must be reported on the form.
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