Screening Log Source of Patient identification Patient If not, Study willing to Screening Patient (eg. Ortho meets Appt. Date reason info participate If no, reason Comments Number ID Initials clinic, DXA) eligibility date given/sent Y/N Y/N
Screening Log Screening Number ID Date Patient Initials Source of identification (eg. Ortho clinic, DXA) Patient meets eligibility Y/N If not, reason Study info given/sent Patient willing to participate Y/N If no, reason Appt. date Comments
PROVE_Screening_Log.docx