The PTEN Study: Required Documents Download Page
This downloads page has been updated with new forms which will be effective from September 23, 2011 until September 22, 2012. We will not accept any previous versions of these documents.
Description of PTEN Study for potential participants
For non-approved outside sites to send to CCF to have a patient consented:
PTEN Eligibility Criteria and Clinical Features Checklist, Permission to Contact Form, CCF Release Form, Banking Checklist, Pedigree, and Requested medical records available to you.
For our Spanish speaking patients:
Permission to Contact (Spanish)
CCF Release Form (Spanish)
For IRB-approved outside sites: All required consenting documents will be sent to you individually by our research coordinator. Along with those documents, please complete and send the following:
PTEN Eligibility Criteria and Clinical Features Checklist,
Banking Checklist.
Please also see the following:
Informed Consent Instructions
Specimen and Shipping Instructions
Material Transfer Agreement
Lerner Research Institute
Cleveland Clinic, Mail Code NB21
9500 Euclid Avenue
Cleveland, Ohio 44195