Site Selection Screening Questionnaire - DOC

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Site Selection Screening Questionnaire - DOC Powered By Docstoc
					                                  Site Screening Waiver Form
Title of Study:

Sponsor/Principal Investigator:

Project Leader:

Research Site:

Site Investigator:




Rationale for Site Screening Waiver:




___________________________________            ________________________
Sponsor / Project Leader Signature             Date




Version: 27-Sept-07

				
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