• The patient to be included in
the clinical trial meets the inclusion/exclusion criteria
Yes
No
• Stratification
Yes
No if yes, please specify the stratum number:
•
I have already sent the inclusion supportive documents for the
concerned patient
Yes
No
Warning : The
inclusion supportive documents for the concerned patient are to
be sent without any delay:
by fax to the following N°: 04 73 69 89 44
to the following e-mail address: carfeuil @csp-epl.com
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