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Current User: Shelly Smith (ssmith01)    Last Login: 08:59 06-Dec-2007
Incoming Call Summary
Current User: Shelly Smith
Length of Call: 4 min 53 sec
Time/Date Call Received: 09:05 06-Dec-2007
Caller Name: Fred Smith - Investigator
Caller Phone: 763-234-5678
Caller Fax: 763-235-2323
Caller Email Address: fredsmith@investigator.com
Protocol Number: 12321
Study Number: 10001
Site Number: 101
Site Mailing Address: 1234 Main Street, New Hope, MN 55428-3623
Site Phone: 763-404-1443
Site Fax: 763-553-9796
Site Email: abccompany@somewhere.com
Resident #1 Screening ID: 100001
Resident #1 Randomization ID: 123456
Resident #1 Accession ID: 888888
Resident #1 Initials: AAA
Resident #1 DOB: 12-Nov-1973
Resident #1 Gender: Male
Reason(s) for Call:
- Correction made to Resident Initials: From 'AAD' to 'AAA'
- New Site phone number assigned: From '763-489-6149' to '763-404-1443'
- DSR Visit 1 re-sent to Fax 763-235-2323 and Additional Fax 763-553-9796
Additional Comments:
Resident #2 Screening ID: 100002
Resident #2 Randomization ID: 999956
Resident #2 Accession ID: 777777
Resident #2 Initials: RTG
Resident #2 DOB: 01-Jan-1965
Resident #2 Gender: Male
Reason(s) for Call:
- DSR Visit 1 re-sent to Fax 763-235-2323 and Additional Fax 763-553-9796
Additional Comments: