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Forms

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Blood Pressure
Blood Sugar Log
Caffeine List
3 Day Food Diary
Diet History Questionnaire
Diet History Questionnaire & Food Diary Instructions
Informed Consent Form
Medical Release Form
P.E.T. Instruction
Pre-screening Form
Risk Factor Form
Smoking Cessation

This image contains information for contacting Century Health Study, including a link to the pre-screening form, the patient brochure and a contact phone number 713 704 2695 and the email address ms.century@uth.tmc.edu

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Century Health Study

(713) 500-5200 Hotline
(713) 704-2695 Fax
ms.century@uth.tmc.edu

6411 Fannin Street
Ground Floor, HG 009
Houston, Texas 77030

Last update:May 3, 2013 contact ms.century@uth.tmc.edu
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The University of Texas Health Science Center at Houston