Patient Eligibility Screener

[NCCDPHP] Evaluation of a Prostate Cancer Decision Aid

OMB: 0920-1438

IC ID: 269818

Documents and Forms

Document Name Document Type
Form 0920-24CB Patient Eligibility Screener Form
0920-24CB Patient Eligibility Screener_English Attachment 06a_Pre-Exposure Survey_Eligibility Screener_English.docx Form
0920-24CB Patient Eligibility Screener_Spanish Attachment 06b_Pre-Exposure Survey_Eligibility Screener_Spanish.docx Form
Attachment 06c_Pre-Exposure Survey_Consent Statement_English.docx Consent Statement_English IC Document
Attachment 06d_Pre-Exposure Survey_Consent Statement_Spanish.docx Consent Statement_Spanish IC Document