Att_12 Clinic Exam Visit Confirmation Letter

Att_12 Clinic Exam Visit Confirmation Letter.pdf

Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers (NIEHS)

Att_12 Clinic Exam Visit Confirmation Letter

OMB: 0925-0626

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John Smith
123 Main Street
New Orleans, LA 27783

[Month Day, Year]

Dear John Smith:
Thank you for taking the next step in the GuLF STUDY by scheduling your clinical exam! We look
forward to seeing you at your upcoming appointment scheduled on -

Date: INSERT DATE [MM/DD/YYYY]
Time: INSERT TIME [HH:MM AM/PM]
Location: INSERT CLINIC SITE
We have enclosed several documents to help you prepare for your visit. Please review the following
documents before your visit •
•
•
•

Informed Consent Form Summary
Answers to Frequently Asked Questions
Instructions for Preparing for the Visit
Directions to the Study Clinic

If you have questions about the visit or need to reschedule your visit, please contact us at 1-855-6444853. Our hours of operation are Monday – Saturday 8AM – 8PM and Sunday 12PM – 5PM (Central).
We look forward to seeing you!
Sincerely,

[INSERT CLINIC DIRECTOR
SIGNATURE]
Dale P. Sandler, Ph.D.
GuLF STUDY Principle Investigator
National Institute of Environmental Health Sciences

[INSERT CLINIC LOGO]
«PID»
«BARCODE»
V 2.0
(07/19/13)

855-NIH-GULF
(855-644-4853)

P.O. Box 13792
Durham, NC 27709

www.gulfstudy.nih.gov
[email protected]

U.S. Department of Health and Human Services  National Institutes of Health  National Institute of Environmental Health Sciences


File Typeapplication/pdf
File Title«C_FNAME» «C_MI» «C_LNAME»
Author[email protected]
File Modified2014-01-29
File Created2013-10-08

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