ࡱ> AC@  bjbj <0aKNN8$t-fuuuuuPPP5tPPPPPuupppPRuupPpppuPQRp0-pppLPPpPPPPPPPP-PPPPPPPPPPPPPN W: Note to File Date:IRB Protocol #:Principal Investigator:Study Title:  Note To File Regarding: Consenting Error Description of Problem / Issue / Event:The subject signed consent on 02JAN13. When reviewing study-related documents on 04JAN13, writernoted the subject used in error his date of birth for the date consenting rather than the actual date of consent.  Resolution / Comment:Writer called the subject at home and discussed the finding. The writer will have subject re-sign andcurrent date the same Informed Consent form at her/his next appointment and advised subject she will be asking her/him to do such. Study team will be reminded at next Team Meeting to assess all ICF signatures and dates immediately after consenting Subjects. Signature: Date: Study Role: ______________________________     University of Rochester 15-Apr-13 '()3@BHPRSj|~ɵɵɡ|||k|ZFF&hghg5CJOJQJ\^JaJ hTkhi?CJOJQJ^JaJ h.75CJOJQJ\^JaJ&hTkhi?5CJOJQJ\^JaJ h5CJOJQJ\^JaJ&h%C+hg5CJOJQJ\^JaJ&hTkhg5CJOJQJ\^JaJ hg5CJOJQJ\^JaJhi?#hi?hi?5CJOJQJ^JaJhi?5CJOJQJ^JaJ (mkd$$Ifl4@n(n(0n(4 lalf4p ytY5 $Ifgdg$a$gdg()ABmkd<$$Ifl4@n(n(0n(4 lalf4p ytY5 $Ifgd<mkd$$Ifl4@n(n(0n(4 lalf4p ytY5BQRS}mkd$$Ifl4n(n(0n(4 lalf4p ytQ8 $Ifgd<}~| $Ifgd<$a$gdi?gdi?mkdx$$Ifl4@n(n(0n(4 lalf4p ytY5   r s t ~        j k l v   ͿͿͿͿͿͿۮۉۿͿͿͮͿͿͿͿ hg5CJOJQJ\^JaJ&hTkhi?5CJOJQJ\^JaJ hTkhi?CJOJQJ^JaJh.7CJOJQJ^JaJhQaCJOJQJ^JaJ&hTkhg5CJOJQJ\^JaJ hTkhgCJOJQJ^JaJ6 $IfgdQavkd$$Ifl4n(n(  0n(4 lalf4p yt< s t (fkd]$$Ifl4n(n(0n(4 lalf4yt< $IfgdQafkd$$Ifl4n(n(0n(4 lalf4yt< (fkd$$Ifl4n(n(0n(4 lalf4yt< $Ifgd<fkd$$Ifl4n(n(0n(4 lalf4yt< $Ifgd<gdi?fkd$$Ifl4n(n(0n(4 lalf4yt<   "fkdE$$Ifl4n(n(0n(4 lalf4yt< $IfgdQamkd$$Ifl4n(n(0n(4 lalf4p yt< k l $Ifgd<fkd$$Ifl4n(n(0n(4 lalf4yt< $IfgdQa  (fkd$$Ifl4n(n(0n(4 lalf4yt< $Ifgd<fkdg$$Ifl4n(n(0n(4 lalf4yt<     (fkd $$Ifl4n(n(0n(4 lalf4yt< $Ifgd<fkd $$Ifl4n(n(0n(4 lalf4yt<       ! ( . 4 5 a b d e g h j k m ͻxplplplpl`T`TEhhCJOJQJaJhCJOJQJaJhQaCJOJQJaJhZjhZU#hh5CJOJQJ^JaJ h5>*CJOJQJ^JaJ hg5>*CJOJQJ^JaJhg5CJOJQJ^JaJ#hghg5CJOJQJ^JaJhi?CJOJQJ^JaJ&hTkhg5CJOJQJ\^JaJ hTkhgCJOJQJ^JaJ    4 5 a c d f g i j l m $a$gdgdgdi?fkd $$Ifl4n(n(0n(4 lalf4yt< gdi?$a$gd/ $a$gd #hh5CJOJQJ^JaJhZhLh/ h:+Z:&P1h/R :pY5/ =!`"`#`$`% $$Ifl!vh5n(#vn(:V l4@0n(5n(4alf4p ytY5$$Ifl!vh5n(#vn(:V l4@0n(5n(4alf4p ytY5$$Ifl!vh5n(#vn(:V l4@0n(5n(4alf4p ytY5$$Ifl!vh5n(#vn(:V l40n(5n(4alf4p ytQ8$$Ifl!vh5n(#vn(:V l4@0n(5n(4alf4p ytY5$$Ifl!vh5n(#vn(:V l4  0n(,5n(4alf4p yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(,5n(4alf4p yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<$$Ifl!vh5n(#vn(:V l40n(5n(4alf4yt<^ 02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 i?Normal_HmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List rr i? Table Grid<:V0a_H4@4 Header  H$..  Header Char4 @"4 0Footer  H$.1. 0 Footer CharHBH /  Balloon TextCJOJQJ^JaJNQN / Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 0 >>JJJM  (B}     8@0(  B S  ?acdfgijlmacdfgijlm )@RSj|  rtjl 3`am)?j|  rtjl 3`am  / Y5.7Q8:+ZQaEg<LZi?ac@@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial7.@Calibri5..[`)TahomaA$BCambria Math"h gnK'&!``r4d``3QHP ?i?2!xx Note to File rhildrethKathleen WessmanOh+'0 ( H T ` lxNote to File rhildrethNormalKathleen Wessman3Microsoft Office Word@^в@\ݼ@k2F@q՜.+,0 hp|   `  Note to File Title  "#$%&'()*+,-./12345679:;<=>?BRoot Entry F \DData 1Table!WordDocument<0SummaryInformation(0DocumentSummaryInformation88CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q