Polaris

CompanyIRB Notification of Study Termination FormProtocol #: Investigator/Site #:Investigator:Sponsor:SiteAddress:Study Title:This is to notify you that the study listed above is completed at this site. The last subject hascompleted his/her last study evaluation. No additional subjects will be enrolled. The followinginformation is pertinent concerning the study:EnrollmentNumber of subjects screenedNumber of subject enrolledNumber of drop-outsNumber of subject completedDrop-outsSubject Initials Subject Number Reason for Drop-OutSt Term Notice.doc© 2004 by CRC Press LLC