Download PDF versions of the NAFTA data collection forms listed below:NAFTA Trial Contact Information:
Cindy Thoene, R.N., CCRP & Mary Jones, CCRP
NAFTA Trial
Norton Healthcare Pavilion
315 East Broadway Room 303
Louisville, KY 40202
(502) 629-3538
(502) 629-3611 (FAX)
Email: cynthia.thoene@nortonhealthcare.org
| Download PDF versions of the NAFTA data collection forms listed below: |
| Physician Registration (Form P) |
| NAFTA Trial Eligibility Checklist (Form E) |
| Patient Registration (Form REG) |
| Baseline (Form B) |
| Breast Cancer Staging and Treatment (Form BC) |
| Follow-up (Form F/U) |
| Recurrence (Form R) |
| Off-Study (Form O) |
| Adverse Events (Form A) |
| Note: All data collection forms listed above are secure and password protected. |
