Blood Collection | Form and Instruction |
Vision Exam | Form and Instruction |
Hammersmith Infant Neurologic Exam (HINE) | Form and Instruction |
Physical Health Exam | Form and Instruction |
Growth Exam | Form and Instruction |
Parenting Stress Index - Short Form | Form and Instruction |
Patient Health Questionnaire - 9 | Form and Instruction |
Ages and Stages Questionnaire - SE | Form and Instruction |
Ages and Stages Questionniare - 3 | Form and Instruction |
Seizure Screen | Form and Instruction |
Caregiver Questionnaire | Form and Instruction |
ZODIAC Medical Record Abstraction Form | Form and Instruction |
Recruitment and Participation Log | Form |
SSB - ZODIAC Emergency ICR_submitted 7_14_17.docx | Supporting Statement B |
SSA - ZODIAC Emergency ICR_submitted_7-14-17.docx | Supporting Statement A |
Emergency Review Request Memo - ZODIAC Investigation_signed 7-14-17.pdf | Supplementary Document |
Att. 12 - ZODIAC Non-Research Determination.docx | Supplementary Document |
Att. 11 - Public Health Handsouts for Families with Babies with Microcephaly.docx | Supplementary Document |
Att. 10 - List of ZODIAC Measures.docx | Supplementary Document |
Att. 6 - Consent and Assent Forms.docx | Supplementary Document |
Att. 5 - Public Health Handouts.docx | Supplementary Document |
Att. 4 - Introductory Script.docx | Supplementary Document |
Att. 1 - Authorizing Legislation.docx | Supplementary Document |
Blood Draw |
Form and Instruction |
Vision Exam |
Form and Instruction |
Neurological Exam - Hammersmith Infant Neurologic Exam / Evaluation of Cerebral Palsy |
Form and Instruction |
Physical Health Exam |
Form and Instruction |
Growth Exam |
Form and Instruction |
Parenting Stress Index - Short Form |
Form and Instruction |
Patient Health Questionniare - 9 |
Form and Instruction |
Ages and Stages Questionnaire - Social / Emotional |
Form and Instruction |
Ages and Stages Questionniare - 3rd Edition |
Form and Instruction |
Seizure Screen |
Form and Instruction |
Parent Questionnaire |
Form and Instruction |
Medical Record Abstraction Form |
Form and Instruction |
Recruitment and Participation Log |
Form |