Adolescent Clinical Trial Enrollment Checklist
Participant Information
Participant Name
Date of Birth
Participant ID
Study Title
Eligibility Review
Age meets inclusion criteria
Meets all inclusion criteria
Does NOT meet any exclusion criteria
Medical history reviewed
Physical exam completed
Consent & Assent
Parental/guardian consent signed
Adolescent assent obtained
Consent/assent process explained
Enrollment Procedures
Participant registered in study database
Screening labs/tests completed
Baseline data recorded
Randomization (if applicable)
Additional Notes