Microbicide Trials Network

MTN-005 Study Implementation Materials

DescriptionDateSize
Baseline Medical History2011-Apr-1871 KB
Baseline Medical History Sheet2011-Apr-1837.5 KB
Counseling Checklists2011-Apr-25213.5 KB
Diary Card2011-Apr-07225.5 KB
Eligibility Checklist2011-Apr-1827.77 KB
Informed Consent Comprehension Checklist2010-Dec-0977.66 KB
Sample Informed Consent Coversheet2010-Dec-0968 KB
Sample PSRT Query Form2011-Nov-2938 KB
Sample Screening and Enrollment Log2011-Jan-10556 KB
Visit Calendar Tool2011-Apr-1838 KB
Sample Visit Checklists
16 Week Termination Visit Checklist2011-Apr-2563.5 KB
4-8-12 Week Follow-up Visit Checklist2011-Apr-2571 KB
Enrollment Visit Checklist2011-Apr-2599 KB
Interim Visit Checklist2011-Apr-2560.5 KB
Pelvic Exam Checklist2011-Jun-2078 KB
Screening Visit Checklist2011-Jun-0367.5 KB