This document outlines the design of a mock clinical report form (CRF) for a clinical trial conducted by Katalyst Healthcares & Life Sciences. The CRF collects data on visit dates, vital signs, pregnancy tests, and hematology for screening and baseline visits on November 20, 2017. It provides contact information for Katalyst Healthcares & Life Sciences in South Plainfield, New Jersey.

1. MOCK CRF Design:
Clinical Data Management (CDM)
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2. Visit Date:
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3. Katalyst Healthcares & Life Sciences 11/20/2017
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4. Vital Signs- Screening Only 4
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5. Vital Signs- Baseline Only
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6. Pregnancy Test – Screening Only
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7. Local Hematology CRF page- Baseline Only
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8. 8
Thank You
&
Questions
Contact:
Katalyst Healthcare’s & Life Sciences
South Plainfield, NJ, USA 07080.
E-Mail: info@KatalystHLS.com