RTOG MEMBER INSTITUTIONS MUST ENTER DATA VIA THE WEB.
PAPER FORMS WILL NOT BE ACCEPTED.
- Complete Forms Package
- Forms Package Index
- A5 Demographic Data Form
- A5 Instructions
- T1 Radiotherapy Form
- TF Treatment Summary Form
- F1 Followup Form
- Dosimetry Transmittal Form
- Pathology Submission Forms
- Specimen Transmittal Form
- AE Adverse Event Evaluation Form
- P4 Pre-Randomization Pathology Form
- DP Temozolomide Pill Diary Tool
- SR Radiology Review Form
- CS Neurocognitive Evaluation Summary Form
- Investigational Agent Accountability Record
Quality of Life Neurocognitive Assessments
- QL EORTC-QLC30 (version 3)
- MZ M.D. Anderson Symptom Inventory (MA DASI-BT)
- Hopkins Verbal Learning Test (HVLT-R 1-6)
Adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc., 16204 North Florida Avenue, Lutz, Florida 33549, from the Hopkins Verbal Learning Test - Revised by Jason Brandt, PhD and Ralph H.B. Benedict, PhD, Copyright 1991, 1998, 2001 by PAR, Inc. Further reproduction is prohibited without permission from PAR, Inc.
- Controlled Oral Word Association (COWA)
- Trail Making Tests Part A Part B
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- Complete Forms Package
- Forms Package Index
- T1 Radiotherapy Form
- TF Treatment Summary Form
- F1 Followup Form
- Dosimetry Transmittal Form
- Pathology Submission Forms
- Specimen Transmittal Form
- AE Adverse Event Evaluation Form
- P4 Pre-Randomization Pathology Form
- DP Temozolomide Pill Diary Tool
- SR Radiology Review Form
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