Adobe PDF Washington University School of Medicine in St.Louis

Center for Clinical Studies Forms
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Center for Clinical Studies FORMS: Downloads Downloads On-Line
Format: Microsoft
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Clinical Study Expeditor
for sponsored study contract assistance		 Click Here N/A N/A
Internal Confidentiality Agreement Confirmation
for access to study Sponsor’s confidential information 		Click Here Click Here N/A
Request for CCS Services
for requesting budget preparations, IRB submissions, study initiation, coordinator services and blood draw services		 Click Here Click Here N/A
Request for CTRU Sleep Study Services
for more information about our study services		 Click Here Click Here N/A
Request for Price Quotation: Lab/Radiology Research Tests
for requesting a price quotation for Lab/Radiology research tests		 N/A N/A Radiology
Laboratory
Request for Research Activities and Prices for Breast Procedures
for requesting a price quotation for research activities and prices for breast procedures		 Click Here Click Here N/A
Request for Research Activities and Prices for Interventional Procedures
for requesting a price quotation for research activities and prices for interventional procedures		 Click Here Click Here N/A
Request St. Louis Children's Hospital Radiology Testing Availability
for requesting test availability for radiology research projects at SLCH		 Click Here Click Here N/A
Request for St. Louis Children’s Hospital Technical Pricing Form
for requesting technical pricing availability at SLCH		 Click Here Click Here N/A
Research Requisition/Account Request Form – Human Trials ONLY
for requesting a requisition or account at SLCH		 Click Here Click Here N/A
Core Lab (CLCS): click here
for obtaining information about core laboratory for clinical studies including request for services 		N/A N/A N/A
Research Requisition/Account Request for Laboratory/Pathology at BJH
for obtaining preprinted lab research requisitions		 N/A N/A Click Here
Research Request for Laboratory at Children's
for obtaining preprinted lab research requisitions		 Click Here Click Here N/A
BJH Lab Reference Range
documentation of BJH laboratory reference ranges for regulatory binder		 N/A Click Here N/A
BJC Research Billing Questions/Corrections
pre-billing and post-billing questions to BJC Revenue Management
   --Pre-Billing Questions (Prior to receiving the statement)
         email: RCM_Clinical_Trials@bjc.org
   --Post-Billing Questions (After receiving the statement)
         email: GS-ClinicalTrialsCreditReq@bjc.org 		N/A N/A N/A
Lab Directors - Curriculum Vitae
Laboratory directors signed CV for the regulatory binder		 N/A BJH
Core Lab-Powers 		N/A
Lab Director - License
Laboratory director license for the regulatory binder		 N/A BJH
Core Lab-Powers 		N/A
The College of American Pathologists
The College of American Pathologists 		N/A BJH
Core Lab 		N/A
Clinical Laboratory Improved Amendments
Clinical Laboratory Improved Amendments		 N/A BJH
Core Lab 		N/A
Volunteer for Health (VFH)
for registration  ** Click Here **		 N/A N/A N/A
Other FORMS:      
FDA's Electronic Forms
for a wide range selection of FDA forms  ** Click Here **		 N/A N/A N/A

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