GuLFOMBattachment13physicianV2

National Institute of Environmental Health Sciences (NIEHS)

GuLF Study - Post IRB

11/3/2010

Appendix O:

Physician Notification Letter

Page 270 of 300

National Institute of Environmental Health Sciences (NIEHS)

GuLF Study - Post IRB

11/3/2010

SAMPLE LETTER – physician notification of RESULTS
(Version 0.6)

«TITLE» «PHYSICIAN FIRST» «PHYSICIAN LAST»
«PRACTICE NAME»
«STREET ADDRESS 1»
«STREET ADDRESS 2»
«CITY», «STATE» «ZIP CODE»
«DATE»
Dear «TITLE» «PHYSICIAN LAST»:
Your patient, «TITLE» «PARTICIPANT FIRST» «PARTICIPANT LAST», recently
participated in the GuLF Study, which is examining the potential short-term and longterm health effects associated with oil spill clean-up activities in the Gulf of Mexico. The
study is being conducted by the National Institute of Environmental Health Sciences.
We recently conducted a number of research assessments during a study visit with
«TITLE» «PARTICIPANT LAST», which included measurement of body mass index,
blood pressure, urinary glucose, «NON-BIOMEDICAL SUBCOHORT: and pulmonary
function testing / BIOMEDICAL SUBCOHORT: pulmonary function testing, and complete
blood count.» We have shared the results of the assessments with «TITLE»
«PARTICIPANT LAST» in the form of a report with findings and recommendations,
which included a recommendation to seek your advice about the findings. We have
obtained «his/her» consent to share the results with you. Our research assessments
revealed clinical abnormalities that may need your attention. Those results are
highlighted in bold in the attached report.
If you have any questions about the study or «TITLE» «PARTICIPANT LAST» results,
please call the study center toll-free at 1-855-NIH-GULF (1-855-644-4853). Our hours
are Monday through Saturday (9am – 9pm) and Sunday (12pm – 6pm) Eastern Time
[TIME ADJUSTED TO LOCAL TIME ZONE]
Sincerely,
Dale Sandler
Principal Investigator
National Institute of Environmental Health Sciences
National Institutes of Health
Enclosure – Report of Findings for «TITLE» «PARTICIPANT FIRST» «PARTICIPANT
LAST»,

Page 271 of 300

National Institute of Environmental Health Sciences (NIEHS)

GuLF Study - Post IRB

11/3/2010

«Enclose same report that was sent to the participant.»

Page 272 of 300