ࡱ> Y bjbjGG Y-b-bQ   8sX(004l@l@l@tsvsvsvsvsvsvs$uUxsl@V?J@"l@l@s04 sNDNDNDl@04tsNDl@tsNDNDgk00S+ARh"`ss0siyXATyDkkykl@l@NDl@l@l@l@l@ssBl@l@l@sl@l@l@l@yl@l@l@l@l@l@l@l@l@ B J: Subject Initials Subject ID Date: / /  Month Day Year  Telephone Contact  FORMCHECKBOX  Telephone contact not performed If Telephone contact not performed, complete the Subject Deviation form Date of Contact AttemptTimeContact OccurredOutcomeMonth (MO)Day (DD)Year (YYYY)Contact Attempt #1  FORMCHECKBOX 1 AM  FORMCHECKBOX 2 PM FORMCHECKBOX 1 Yes  FORMCHECKBOX 0 No FORMCHECKBOX 1 No answer  FORMCHECKBOX 2 Left Voice message  FORMCHECKBOX 3 Left Message w/________________  FORMCHECKBOX 4 Line Busy  FORMCHECKBOX 5 Other: ____________Contact Attempt #2 FORMCHECKBOX 1 AM  FORMCHECKBOX 2 PM FORMCHECKBOX 1 Yes  FORMCHECKBOX 0 No FORMCHECKBOX 1 No answer  FORMCHECKBOX 2 Left Voice message  FORMCHECKBOX 3 Left Message w/________________  FORMCHECKBOX 4 Line Busy  FORMCHECKBOX 5 Other: ____________Contact Attempt #3 FORMCHECKBOX 1 AM  FORMCHECKBOX 2 PM FORMCHECKBOX 1 Yes  FORMCHECKBOX 0 No FORMCHECKBOX 1 No answer  FORMCHECKBOX 2 Left Voice message  FORMCHECKBOX 3 Left Message w/________________  FORMCHECKBOX 4 Line Busy  FORMCHECKBOX 5 Other: ____________Contact Attempt #4 FORMCHECKBOX 1 AM  FORMCHECKBOX 2 PM FORMCHECKBOX 1 Yes  FORMCHECKBOX 0 No FORMCHECKBOX 1 No answer  FORMCHECKBOX 2 Left Voice message  FORMCHECKBOX 3 Left Message w/________________  FORMCHECKBOX 4 Line Busy  FORMCHECKBOX 5 Other: ____________  Date telephone contact completed: / / Month Day Year Telephone Contact (continued) [INSERT TEXT AS REMINDERS TO RESEARCH STAFF] QUESTION(S) TO BE ASKEDForm No.Since your last study contact, have you had any changes in health status, medical conditions, or adverse events? FORMCHECKBOX  Yes  FORMCHECKBOX  NoConcomitant Medications Log completed (if applicable)? FORMCHECKBOX  Yes  FORMCHECKBOX  NoAdverse Event Symptoms reviewed with Subject?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Adverse Event Tracking Log Completed (same log form for all visits)? FORMCHECKBOX  Yes  FORMCHECKBOX  No If any AE has Yes in Serious column, complete SAE form and enter the information in Subject Console > SAEs screen of OnCore? FORMCHECKBOX  Yes  FORMCHECKBOX  NoDoes the medical history form need to be updated?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoWere there any activities that deviated from the defined protocol?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, completed the Deviation/Violation form and enter the information in the Subject Console > Deviations screen of OnCore? FORMCHECKBOX  Yes  FORMCHECKBOX  NoSubject payment confirmed (if applicable)  FORMCHECKBOX  Yes  FORMCHECKBOX  NoOTHER QUESTION TO ASK(if applicable) FORMCHECKBOX  Yes  FORMCHECKBOX  No COMMENTS: TELEPHONE CONTACT CONDUCTED BY: FORM COMPLETED BY: DATE:     HEADER: PI NAME, Protocol or IRB Number, Protocol Short Title Form Number Version Date: 10/20/2016 Page  PAGE 2 of  NUMPAGES 2 3FMQRSbcde~ҹ|r|ara|H:hQCJOJQJ^JaJ1jhQ5CJ OJQJU^JaJ mHnHu hUhQCJ<OJQJ^JaJ<hQOJQJ^JhUhQOJQJ^JhQ5CJOJQJ^JaJhN5CJOJQJ^JaJ#huhQ5CJOJQJ^JaJ1jhQ5CJOJQJU^JaJmHnHu&jh].OJQJU^JmHnHu1jhU\5CJ OJQJU^JaJ mHnHud3 4 5 sc[$\$`gdD( [$\$gd(9$$d%d&d'd-DM NOPQ[$\$a$gdI [$\$gdI [$\$gd].$[$\$a$gdQ[$\$^`gdQ [$\$gd4 ~ųn_H6#hUh(CJOJQJ\^JaJ,jhUh(CJOJQJU\^JaJhI6CJ OJQJ^JaJ #h-6yhI5CJ OJQJ^JaJ hV)5CJ OJQJ^JaJ #h].hI5CJ OJQJ^JaJ #huh].5CJOJQJ^JaJ#h].h].5CJOJQJ^JaJ7jh].h].5CJOJQJU^JaJmHnHuhQCJOJQJ^JaJ hUhQCJOJQJ^JaJ 2 3 4 5 wlalVD3 hqIrhqIrCJOJQJ^JaJ#huh(6CJ OJQJ^JaJ hD(5OJQJ^Jh(6OJQJ^JhD(6OJQJ^JhIh(6OJQJ^JhIh(6OJQJ\^Jh6OJQJ\^Jh(6OJQJ\^J hD(6CJOJQJ\^JaJh(CJOJQJ\^JaJ,jhUh(CJOJQJU\^JaJ2jhUh(CJOJQJU\^JaJ5 6 N S d l $$Ifa$gd +$$If[$\$a$gd +$If[$\$gd +l m n /$If[$\$gd +kdx$$Ifl4r4+`  p t0,644 lap2yt +n y ) O v $$If[$\$a$gd 3F$$If[$\$a$gd +$If[$\$gd +<<$If[$\$gd +Ff$$If[$\$a$gd +5 ͣ}lT}B0l#h 3Fh 3FCJH*OJQJ^JaJ#h 3Fh 3FCJH*OJQJ^JaJ/jh 3Fh 3FCJOJQJU^JaJ h 3Fh 3FCJOJQJ^JaJ)jh 3Fh 3FCJOJQJU^JaJ h 3Fh 3FCJOJQJ^JaJ#h 3FhD(CJH*OJQJ^JaJ/jh 3FhD(CJOJQJU^JaJ)jh 3FhD(CJOJQJU^JaJ h 3FhD(CJOJQJ^JaJh +hD(OJQJ^J         ) * 8 9 : ; O P ^ _ ` a o } q]Sh 3FOJQJ^J'j]h +hD(OJQJU^J'jh +hD(OJQJU^J'juh +hD(OJQJU^J#h +hD(CJOJQJ\^JaJ'jh +hD(OJQJU^Jh +hD(H*OJQJ^J'jh +hD(OJQJU^Jh +hD(OJQJ^J!jh +hD(OJQJU^J }     ضض|dR|A| h 3Fh 3FCJOJQJ^JaJ#h 3Fh 3FCJH*OJQJ^JaJ/j h 3Fh 3FCJOJQJU^JaJ h 3Fh 3FCJOJQJ^JaJ)jh 3Fh 3FCJOJQJU^JaJ'jEh +hD(OJQJU^Jh +hD(H*OJQJ^J'jh +hD(OJQJU^J!jh +hD(OJQJU^Jh 3FOJQJ^Jh +hD(OJQJ^Jv   N k  $If[$\$gd 3F$$If[$\$a$gd +$$If[$\$a$gd 3F<<$If[$\$gd +Ff <$If[$\$gd 3F$If[$\$gd +        - . / 0 7 8 F G H I M r^Prr<Pr'j1 h +hD(OJQJU^Jh +hD(H*OJQJ^J'j h +hD(OJQJU^Jh +hD(OJQJ^J!jh +hD(OJQJU^Jh 3FhD(OJQJ^J h 3Fh 3FCJOJQJ^JaJ#h 3Fh 3FCJH*OJQJ^JaJ#h 3Fh 3FCJH*OJQJ^JaJ)jh 3Fh 3FCJOJQJU^JaJ/jI h 3Fh 3FCJOJQJU^JaJM N O ] ^ _ ` k l z { | } ϻܭϙܭυܭ{{gܭS'juh +h 3FOJQJU^J'jh +h 3FOJQJU^Jh 3FOJQJ^J'jh +h 3FOJQJU^J'jh +h 3FOJQJU^Jh +h 3FH*OJQJ^J'j h +h 3FOJQJU^Jh +h 3FOJQJ^J!jh +h 3FOJQJU^J#h +hD(CJOJQJ\^JaJ   - . < = > ? 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