Form:DrugProjectForm: Difference between revisions
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=Overview Statement= | =Overview Statement= | ||
{{{for template| | {{{for template|DrugProjectFormSinglePage}}} | ||
Please enter your author tag here: {{{field|authorTag|input type=text| size=40}}} | Please enter your author tag here: {{{field|authorTag|input type=text| size=40}}} | ||
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| {{{field|adverseReactions|input type=textarea|size=35}}} | | {{{field|adverseReactions|input type=textarea|size=35}}} | ||
|} | |} | ||
=Black Box Warning= | =Black Box Warning= | ||
{| | {| | ||
! Is there a Black Box warning associated with the drug?: | ! Is there a Black Box warning associated with the drug?: | ||
| Line 229: | Line 228: | ||
|} | |} | ||
=Pill Characteristics= | =Pill Characteristics= | ||
Is the the drug provided in pill form? | Is the the drug provided in pill form? | ||
{{{field|isPill|input type=dropdown|values=Yes}}} | {{{field|isPill|input type=dropdown|values=Yes}}} | ||
| Line 265: | Line 263: | ||
{{{field|pillImage|input type=text|size=40}}} | {{{field|pillImage|input type=text|size=40}}} | ||
=Patient Information= | =Patient Information= | ||
{| | {| | ||
!Please enter the FDA Provided Patient Information here | !Please enter the FDA Provided Patient Information here | ||
Revision as of 19:16, 21 March 2014