Proton Therapy Questionnaire

 

This questionnaire requests data specific to the beam lines and conditions you will use for patients on NCI sponsored clinical trials. Do not try to be comprehensive for your entire facility; replies should be pertinent to patients on COG and adult clinical trial group protocols sponsored by the NCI. Recognizing the rapid development of proton techniques, this questionnaire shall be completed each year concurrent with the TLD irradiations from the RPC.

Questions and completed questionnaires are to be directed to:

Physics Division
Quality Assurance Review Center
272 West Exchange Street, Suite 101
Providence, RI 02903-1025
Phone: (401) 454-4301
FAX: (401) 454-4683
Email: Physics@QARC.org