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CALIFORNIA EMERGING INFECTIONS PROGRAM Human Papillomavirus Vaccine Impact Monitoring Project (HPVIMPACT) CASE REPORT FORM The purpose of this form is to collect missing patient information on cases.

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Most commonly used standard CRF templates are inclusion criteria, exclusion criteria, demography, medical history, PE, AE, concomitant medication and study outcome modules, whereas, the modules which captures efficacy data are not unique.

A case report form (CRF) is a printed, optical, or electronic document designed to record all protocol-required information on each subject in a clinical research study.

3.1. CRF Content Inclusion and exclusion criteria (features a patient needs to fulfil to get enrolled into the study). Demographics (the patient's personal information in an anonymised way). The patient's medical history and the result of the physical examination by the doctor.

A Case Report Form (CRF) is an electronic or paper document which is used in a clinical trial to record the protocol and required information about each participant. It enables efficient and complete data collection, processing, analysis and reporting.

The sponsor is responsible for designing a CRF that accurately represents the protocol of the clinical trial, as well as managing its production, monitoring the data collection and auditing the content of the filled-in CRFs.

What is a Case Report Form? A CRF is a set of documents that collects data and information from a clinical trial. The CRF is used by the study sponsor to capture and retain important data in the clinical trial. CRFs are usually electronic but may also be created in paper form.

CRF completion should only be carried out by the investigator or individuals listed on this form. DEFINITIONS: Case Report Form (CRF): A paper or electronic questionnaire specifically used in clinical trial research.

These two types of CRFs are referred to as single-section and multi-section CRFs, respectively. No matter how many sections comprise a CRF, you view and work on one section at a time.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232