{"id":4840,"date":"2021-01-27T21:44:35","date_gmt":"2021-01-27T21:44:35","guid":{"rendered":"https:\/\/statepi.jhsph.edu\/ckid_wp\/?page_id=4840"},"modified":"2021-01-31T19:23:16","modified_gmt":"2021-01-31T19:23:16","slug":"fillable-forms","status":"publish","type":"page","link":"https:\/\/statepi.jhsph.edu\/ckid\/coordinator-resources\/key-forms\/fillable-forms\/","title":{"rendered":"Fillable Study Forms"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-csx8o-506565b688dbb88c4238f78bfd87d1f2\">\n.flex_column.av-csx8o-506565b688dbb88c4238f78bfd87d1f2{\nborder-radius:0px 0px 0px 0px;\npadding:0px 50px 0px 50px;\n}\n<\/style>\n<div  class='flex_column av-csx8o-506565b688dbb88c4238f78bfd87d1f2 av_one_full  avia-builder-el-0  avia-builder-el-no-sibling  first flex_column_div  '     ><p><section  class='av_textblock_section av-kklj6m2b-3a531975cf16fd6476514021baf46922 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Below are selected CKiD Study forms that are available in fillable PDF format. You can find all available key study forms in standard PDF format on the <a href=\"https:\/\/statepi.jhsph.edu\/ckid\/coordinator-resources\/key-forms\/\">Key Forms<\/a> page.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-2a9co8-14070628cd374792f11a6d0771ec3aca '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><script type=\"text\/x-handlebars-template\" id=\"wpfd-template-tree-box\">    {{#with file}}    <div class=\"dropblock\">        <a href=\"javascript:void(0)\" class=\"wpfd-close\"><\/a>        <div class=\"filecontent\">            <div class=\"ext ext-{{ext}} wpfd-icon-set-png\"><span class=\"txt\">{{ext}}<\/span><\/div><h3><a href=\"{{linkdownload}}\"   class=\"wpfd_downloadlink\" title=\"{{post_title}}\" target=\"{{#if remote_file}}_blank{{\/if}}\">{{{crop_title}}}<\/a><\/h3>            <div class=\"wpfd-extra\">                {{#if description}}<div class=\"file-desc\">{{{description}}}<\/div>{{\/if}}{{#if versionNumber}}<div class=\"file-version\"><span>Version:<\/span> {{versionNumber}}<\/div>{{\/if}}<div class=\"file-size\"><span>Size:<\/span> {{bytesToSize size}}<\/div><div class=\"file-hits\"><span>Hits:<\/span> {{hits}}<\/div><div class=\"file-dated\"><span>Date added:<\/span> {{created}}<\/div>            <\/div>        <\/div>        <div class=\"extra-downloadlink\"><\/div>    {{\/with}}<\/script>    <script type=\"text\/x-handlebars-template\" id=\"wpfd-template-tree-categories\">        {{#if categories}}        {{#each categories}}        <li class=\"directory collapsed\">            <a class=\"catlink\" href=\"#\" data-idcat=\"{{termID}}\">                <div class=\"icon-open-close\" data-id=\"{{termID}}\"><\/div>                <i class=\"zmdi zmdi-folder wpfd-folder\" style=\"color: {{color}}\"><\/i>                <span>{{name}}<\/span>            <\/a>        <\/li>        {{\/each}}        {{\/if}}    <\/script><script type=\"text\/x-handlebars-template\" id=\"wpfd-template-tree-files\">    {{#if files}}    {{#each files}}    <li class=\"ext {{ext}}\">                    <i class=\"wpfd-file ext ext-{{ext}} wpfd-icon-set-png\"><\/i>                                {{#if openpdflink}}                        <a class=\"wpfd-file-link\" data-category_id=\"{{catid}}\" target=\"\" href=\"{{linkdownload}}\" data-id=\"{{ID}}\"               title=\"{{post_title}}\">{{{crop_title}}}<\/a>        {{else}}                        <a class=\"wpfd-file-link\" data-category_id=\"{{catid}}\" target=\"\" href=\"{{linkdownload}}\" data-id=\"{{ID}}\"               title=\"{{post_title}}\">{{{crop_title}}}<\/a>        {{\/if}}            <\/li>    {{\/each}}    <\/div>    {{\/if}}<\/script><div class=\"wpfd-content wpfd-content-tree wpfd-content-category-normal wpfd-content-without-download-selected wpfd-content-multi\" data-category=\"247\"             style=\"background-color: \"><input type=\"hidden\" id=\"current_category_247\" value=\"247\" \/>                    <input type=\"hidden\" id=\"current_category_slug_247\" value=\"fillable-forms\" \/>                    <input type=\"hidden\" id=\"current_ordering_247\" value=\"ordering\" \/>                    <input type=\"hidden\" id=\"current_ordering_direction_247\" value=\"asc\" \/>                    <input type=\"hidden\" id=\"page_limit_247\" value=\"50\" \/><input type=\"hidden\" id=\"wpfd_display_empty_category_message\" value=\"0\" \/><input type=\"hidden\" id=\"wpfd_empty_category_message_val\" value=\"This file category has no files to display\" \/><input type=\"hidden\" id=\"wpfd_display_empty_folder\" value=\"1\" \/><input type=\"hidden\" id=\"wpfd_is_empty_subcategories\" value=\"1\" \/><input type=\"hidden\" id=\"wpfd_is_empty_files\" value=\"1\" \/><input type=\"hidden\" id=\"wpfd_root_category_id\" class=\"wpfd_root_category_id\" value=\"247\" \/><input type=\"hidden\" id=\"wpfd_root_category_theme\" class=\"wpfd_root_category_theme\" value=\"tree\" \/><input type=\"hidden\" id=\"wpfd_root_category_clone_theme_type\" class=\"wpfd_root_category_clone_theme_type\" value=\"none\" \/><input type=\"hidden\" id=\"wpfd_root_category_type\" class=\"wpfd_root_category_type\" value=\"247\" \/><input type=\"hidden\" id=\"wpfd_category_notify_file_changes\" class=\"wpfd_category_notify_file_changes\" value=\"0\" \/><input type=\"hidden\" id=\"wpfd_global_notify_file_changes\" class=\"wpfd_global_notify_file_changes\" value=\"0\" \/><input type=\"hidden\" id=\"wpfd_download_selected\" class=\"wpfd_download_selected\" value=\"0\" \/><input type=\"hidden\" id=\"wpfd_user_login\" class=\"wpfd_user_login\" value=\"0\" \/><div class=\"wpfd-content-header-section\"><div class=\"wpfd-header-btn-group\"><a class=\"wpfd-category-mail-subscribe-all\" href=\"#\" style=\"display: none\">Email Subscribe All<\/a><a data-catid=\"\"                       class=\"tree-download-category \"                       href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/wpfdcat\/247\/fillable-forms\">Download all                         <i class=\"zmdi zmdi-check-all wpfd-download-category\"><\/i>                    <\/a><\/div><\/div><h2 class=\"wpfd-category-theme-title\">Fillable Forms<\/h2><ul class=\"wpfd-tree-categories-files\">                                                        <li class=\"directory collapsed\">                    <a class=\"catlink\" href=\"#\" data-idcat=\"290\">                        <div class=\"icon-open-close\" data-id=\"290\"><\/div>                        <i class=\"zmdi zmdi-folder wpfd-folder\" style=\"color: \"><\/i>                        <span>Current Visit Forms<\/span>                    <\/a>                <\/li>                                                    <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/8321\/el_eligibility_01_15_26_fillable.pdf\" data-category_id=\"247\"                   data-id=\"8321\"                   title=\"EL_Eligibility_01_15_26_Fillable\" target=\"\">EL_Eligibility_01_15_26_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/8351\/ref_refusal_03_01_26_fillable-form.pdf\" data-category_id=\"247\"                   data-id=\"8351\"                   title=\"REF_Refusal_03_01_26_Fillable Form\" target=\"\">REF_Refusal_03_01_26_Fillable Form<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6263\/mv_missed-visit_12_01_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6263\"                   title=\"MV_Missed Visit_12_01_21_fillable\" target=\"\">MV_Missed Visit_12_01_21_fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6211\/dl_data-linkage-form_12_01_17_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6211\"                   title=\"DL_Data Linkage Form_12_01_17_Fillable\" target=\"\">DL_Data Linkage Form_12_01_17_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6208\/pfu02_site-questionnaire_03_01_18a_fillable-2.pdf\" data-category_id=\"247\"                   data-id=\"6208\"                   title=\"PFU02_Site-Questionnaire_03_01_18a_Fillable\" target=\"\">PFU02_Site-Questionnaire_03_01_18a_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6181\/pfu01_sp_phone-follow-up-form_09_15_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6181\"                   title=\"PFU01_SP_Phone follow up form_09_15_21_Fillable\" target=\"\">PFU01_SP_Phone follow up form_09_15_21_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6180\/pfu01_phone-follow-up-form_09_15_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6180\"                   title=\"PFU01_Phone-follow-up-form_09_15_21_Fillable\" target=\"\">PFU01_Phone-follow-up-form_09_15_21_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6137\/nh_neonatal-history-form_12_01_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6137\"                   title=\"NH_Neonatal-History-Form_12_01_21_Fillable\" target=\"\">NH_Neonatal-History-Form_12_01_21_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6012\/pfu01_phone-follow-up-form_03_01_18_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6012\"                   title=\"PFU01_Phone follow up form_03_01_18_Fillable\" target=\"\">PFU01_Phone follow up form_03_01_18_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/6003\/f21-coronavirus-questionnaire-for-study-visits_09_15_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"6003\"                   title=\"F21 - Coronavirus Questionnaire for Study Visits_09_15_21_Fillable\" target=\"\">F21 - Coronavirus Questionnaire for Study Visits_09_15_21_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/5432\/rdc_reach-data-collection-form_03_15_2021_fillable.pdf\" data-category_id=\"247\"                   data-id=\"5432\"                   title=\"RDC_REACH Data Collection Form_03_15_2021_Fillable\" target=\"\">RDC_REACH Data Collection Form_03_15_2021_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/5402\/c19_covid-19-tracking-form_03_15_21.pdf\" data-category_id=\"247\"                   data-id=\"5402\"                   title=\"C19_COVID-19 Tracking Form_03_15_21\" target=\"\">C19_COVID-19 Tracking Form_03_15_21<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/5343\/trs03_transitional-form_03_01_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"5343\"                   title=\"TRS03_Transitional Form_03_01_21_fillable\" target=\"\">TRS03_Transitional Form_03_01_21_fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/5342\/dsen_disenrollment_03_01_21_fillable.pdf\" data-category_id=\"247\"                   data-id=\"5342\"                   title=\"DSEN_Disenrollment_03_01_21_fillable\" target=\"\">DSEN_Disenrollment_03_01_21_fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/4844\/nh_neonatal-history-form_08_15_20_fillable-2.pdf\" data-category_id=\"247\"                   data-id=\"4844\"                   title=\"NH_Neonatal History Form_08_15_20_Fillable\" target=\"\">NH_Neonatal History Form_08_15_20_Fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/4843\/sm01_biorepository-samples-physical-record_10_01_20_fillable-2.pdf\" data-category_id=\"247\"                   data-id=\"4843\"                   title=\"SM01_Biorepository Samples Physical Record_10_01_20_fillable\" target=\"\">SM01_Biorepository Samples Physical Record_10_01_20_fillable<\/a>            <\/li>                                            <li class=\"ext pdf\">                                    <i class=\"wpfd-file ext ext-pdf wpfd-icon-set-png\"><\/i>                                <a class=\"wpfd-file-link\" href=\"https:\/\/statepi.jhsph.edu\/ckid\/download\/247\/fillable-forms\/4850\/pfu01_spanish_phone-follow-up-form_03_01_18_fillable.pdf\" data-category_id=\"247\"                   data-id=\"4850\"                   title=\"PFU01_SPANISH_Phone follow up form_03_01_18_Fillable\" target=\"\">PFU01_SPANISH_Phone follow up form_03_01_18_Fillable<\/a>            <\/li>                        <\/ul><\/div>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":1265,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"page_page-category":[],"page_page-tag":[],"class_list":["post-4840","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/pages\/4840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/comments?post=4840"}],"version-history":[{"count":9,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/pages\/4840\/revisions"}],"predecessor-version":[{"id":5277,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/pages\/4840\/revisions\/5277"}],"up":[{"embeddable":true,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/pages\/1265"}],"wp:attachment":[{"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/media?parent=4840"}],"wp:term":[{"taxonomy":"page_page-category","embeddable":true,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/page_page-category?post=4840"},{"taxonomy":"page_page-tag","embeddable":true,"href":"https:\/\/statepi.jhsph.edu\/ckid\/wp-json\/wp\/v2\/page_page-tag?post=4840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}