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CTC Forms

The attached PDF forms are available for your convenience to collect and organize CTC data prior to online data entry. 

  • The Registration form captures the patient’s demographic information and can be used to enter patient information in the Patient Dictionary.

  • The Exam form captures data from the patient’s colonography.

You may download each form separately, or download both forms as a single file.

Please do not mail the printable forms to the ACR.


  • Registration: v1.7
  • Exam: v1.11

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