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Ancillary Study Documents

Displaying 1 - 50 of 190
Form Code Title Version Status Form Ancillary Study Form Date QxQ Code Book
DSPBX BHFUX Disposition Form 1.0 Active ACHIEVE-BHFU 02/26/2024 PDF
BICRX BHFU Extension Informed Consent Form 1.0 Active ACHIEVE-BHFU 02/26/2024 PDF
SISA_DERV (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
APOE_PHAN (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
APOE_DERV (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ADSA_DERV (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACTIGRAPHY (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACTIGRAPHY_MINUTES (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACHSCRDERIVE (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACHINCCOGIMP (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACHDERIVE_240304 (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
ACHCNFA (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
AAF_DERV (no PHI) Derived Dataset 1.0 Active ACHIEVE 02/06/2024 ACH
PEX11 PEX11 - Physical Exam Form 2.0 Active PDF Echo 01/05/2021 PDF
EPC11 EPC11 - ECHO Procedure Completion Form 2.0 Active PDF Echo 02/02/2024 PDF
ECA11 ECA11 - Echocardiography alerts reporting form 1.0 Active PDF Echo 06/01/2011 PDF
ZioPatch Study Coordinators Tip Sheet Active PDF Ziopatch 01/22/2024
ZioPatch FAQs Active PDF Ziopatch 01/22/2024
CGMR CGMR form 1.0 Active PDF CGM 12/19/2023 PDF
AG2L ACHIEVE GEN2 Linkage Form 1.0 Active PDF ACHIEVE-BHFU 10/24/2023 PDF
HDA Heart Failure Diagnosis Form 1.0 Active PDF Heart Failure Charts 08/28/2023 PDF
WRAT Wide Range Achievement Test 1.0 Active PDF Generation 2 04/10/2023 PDF
CIUG Gen2 Contact Information Update 1.0 Active PDF Generation 2 06/01/2023 PDF
VMR VMR - MRI Report Referral - Vascular 1.0 Active PDF MRI 02/10/2017 PDF
ACHIEVE Biospecimen Shipping and Receiving Form 1.1 Active PDF ACHIEVE 03/26/2017
Suicidal Ideation Notelog Active PDF ACHIEVE 04/30/2019
Participant Expectations Form (non-CDART) Active PDF ACHIEVE 02/07/2018 PDF
Neurocognitive Introductory Telephone Script Active DOCX ACHIEVE 07/14/2020
Actigraph Instruction Sheet for ACHIEVE Active DOCX ACHIEVE 04/29/2021
HRID Hospital Records Identifier Form 1.0 Active PDF ACHIEVE-BHFU ACHIEVE ACHIEVE-HIFU 04/17/2023 PDF
DSPB BHFU Disposition Form 1.0 Active PDF ACHIEVE-BHFU 09/09/2022 PDF
DEMX ANX Demographics Form 1.0 Active PDF ACHIEVE-BHFU ACHIEVE-HIFU ACHIEVE 09/09/2022 PDF
DEMR ARIC Demographics Addendum 1.0 Active PDF ACHIEVE-BHFU ACHIEVE-HIFU ACHIEVE 09/09/2022 PDF
COVX ANX COVID Impact Questionnaire 1.0 Active PDF ACHIEVE-BHFU ACHIEVE-HIFU 09/09/2022 PDF
BICR BHFU Informed Consent Form 1.0 Active PDF ACHIEVE-BHFU 05/22/2023 PDF
BIAX BHFU Biospecimen Collection Form 1.0 Active PDF ACHIEVE-BHFU 11/07/2022 PDF
BHR Brain Health Recruitment Form 1.0 Active PDF ACHIEVE-BHFU 09/09/2022 PDF
ACHIEVE-HIFU GrandPad Expectations 2.0 Active PDF ACHIEVE-HIFU 08/15/2022
BHFU Biospecimen Shipping and Receiving Form 1.0 Active PDF ACHIEVE-BHFU 11/07/2022
BHFU Tablet Contact and Support Information 1.0 Active PDF ACHIEVE-BHFU 12/13/2022
TAP Telehealth Acceptance Pre-Intervention Form 1.0 Active PDF ACHIEVE-HIFU 11/09/2021 PDF ACH
TAF Telehealth Acceptance Post-Intervention Form 1.0 Active PDF ACHIEVE-HIFU 11/09/2021 PDF
RANH Randomization Form 1.0 Active PDF ACHIEVE-HIFU 09/17/2021 PDF
MDCX Missed Ancillary Data Collection Form 2.0 Active PDF ACHIEVE-HIFU ACHIEVE ACHIEVE-BHFU 03/06/2023 PDF
HICR HIFU Informed Consent Form 1.0 Active PDF ACHIEVE-HIFU 09/10/2021 PDF
HICF HIFU Intervention Check-Up Form 2.0 Active PDF ACHIEVE-HIFU 04/10/2023 PDF
DSPH HIFU Disposition Form 1.0 Active PDF ACHIEVE-HIFU 08/11/2022 PDF
COSIX COSIX Client-Oriented Scale of Improvement Baseline 1.0 Active PDF ACHIEVE-HIFU ACHIEVE ACHIEVE-BHFU 01/10/2022 PDF
ASI Ancillary Study Interaction 1.0 Active PDF ACHIEVE-HIFU ACHIEVE ACHIEVE-BHFU 06/08/2023 PDF ACH
WRAT Wide Range Achievement Test 1.0 Active PDF ACHIEVE 09/26/2017 PDF ACH