Group 1 – Page 2 indicates which stent this represents Patient Sticker Checklist Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient Date of Stent Insertion: One copy filed in ______ Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient Date of Stent Insertion: One copy filed in ______ Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient Date of Stent Insertion: One copy filed in ______ Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient Date of Stent Insertion: One copy filed in ______
Group 1 – Page 2 indicates which stent this represents Patient Sticker Checklist Date of Stent Insertion: Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient One copy filed in ______ Date of Stent Insertion: Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient One copy filed in ______ Date of Stent Insertion: Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient One copy filed in ______ Date of Stent Insertion: Patient appropriate for study as per Page 1 of Stent Study Recruitment Pathway Patient consented for study Two consent forms signed (in Stent Study Pack) One copy given to patient One copy filed in ______
373245-Stent%20Study%20Protocol%20V3%20-%20FINAL%20sans%20ussq.docx