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Appendix 5REFUSAL QUESTIONNAIRE HANFORD THYROID DISEASE STUDY September 29, 1992 PHASE INITIALS DATE ___ EDITED ___ CODED ___ KEYED ___ VERIFIEDSUBJECT ID #:__ __ __ __ __ __ __ __ __ __ __INTERVIEWER
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Gather necessary personal information, including your name, contact details, and medical history.
02
Obtain the Hanford Thyroid Disease Study questionnaire from the official website or contact a relevant health department.
03
Carefully read the instructions provided with the questionnaire.
04
Begin filling out the questionnaire, answering all questions to the best of your ability.
05
Provide details regarding any history of thyroid disease or related health issues.
06
Include information about potential exposure to Hanford site contaminants, if applicable.
07
Review your responses for accuracy and completeness before submission.
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Submit the completed questionnaire either online or by mailing it to the provided address.

Who needs hanford thyroid disease study?

01
Individuals who lived near the Hanford Nuclear Reservation during specific time periods.
02
Members of families of individuals who may have been affected by thyroid disease linked to Hanford site exposure.
03
Patients with a history of thyroid disease who are seeking to understand the study's findings.
04
Researchers studying the impact of environmental exposures on thyroid health.
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The Hanford Thyroid Disease Study is a research initiative aimed at evaluating the potential health effects of radioactive iodine exposure from the Hanford Nuclear Reservation on the thyroid health of individuals who lived in the surrounding areas.
Individuals who participated in the Hanford Thyroid Disease Study or are being contacted for health assessments related to the study are required to file.
To fill out the Hanford Thyroid Disease Study forms, participants must provide their personal information, medical history, and any relevant exposure information as outlined in the study's guidelines.
The purpose of the Hanford Thyroid Disease Study is to investigate the relationship between exposure to radioactive iodine and the incidence of thyroid disease among residents living near the Hanford site.
Participants must report their demographic information, thyroid function test results, medical history, and any symptoms related to thyroid disease.
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