Washington University School of Medicine in St.Louis

Center for Clinical Studies Forms
Microsoft Word Microsoft Word IBM-compatible format.
Adobe PDF Adobe Acrobat Reader format. If you do not already have a copy of Acrobat Reader, click here:
On-line submission Computer generated forms for ease of entering and submitting information on-line.
Center for Clinical Studies FORMS: Downloads Downloads On-Line
Format: Microsoft
Word
Microsoft Word		 Adobe Acrobat Reader
Adobe PDF		 Computer Transmission
on-line submission
Clinical Investigator Questionnaire
to include you in our database to attract studies of interest and to inform you of upcoming studies		 N/A N/A Click Here
Clinical Study Expeditor
for sponsored study contract assistance		 Click Here Click Here N/A
Center for Advanced Medicine (CAM) - License
CAM license for the regulatory binder		 N/A Click Here 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 Click Here
Request for CRU 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
Research Request Radiology at Children’s Hospital
for confirming the availability of radiology/imaging services		 Click Here Click Here N/A
Request St. Louis Children's Hospital Pricing Request Form
for requesting clinical study technical pricing at SLCH		 Click Here Click Here N/A
Research Requisition/Account Request for Laboratory/Pathology at BJH
for obtaining preprinted lab research requisitions		 Click Here Click Here N/A
Exhibit E - Request for Exception to Hospital Rate Schedule (002)
request for exception to hospital rate schedule		 N/A Click Here N/A
Research Request for Laboratory at Children's
for obtaining preprinted lab research requisitions		 Click Here Click Here N/A
Core Lab for Clinical Studies (CLCS): click here
click here for test menu, pricing, and other information about core lab for clinical studies 		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
Lab Directors - Curriculum Vitae
Laboratory directors signed CV for the regulatory binder		 N/A BJH - Eby
Core Lab-Ostlund 		N/A
Lab Director - License
Laboratory director license for the regulatory binder		 N/A BJH
Core Lab 		N/A
The College of American Pathologists
The College of American Pathologists 		N/A BJH
BJH South County
Core Lab 		N/A
Clinical Laboratory Improved Amendments
Clinical Laboratory Improved Amendments		 N/A BJH
Core Lab 		N/A
BJC Clinical Trials RCAST Form
To obtain an insurance plan for each IRB approved clinical trial for services provided at BJC facilities, the research team must complete and submit the BJC RCAST form		 Instructions
Form 		Instructions
Form 		N/A
VFH Study Registration Form
for study coordinators to provide study details for VFH services		 Click Here Click Here N/A
Request for Volunteer for Health (VFH) Media Development
for study coordinators to request media development from Volunteer for Health		 Click Here Click Here N/A
Other FORMS:      
FDA's Electronic Forms
for a wide range selection of FDA forms  ** Click Here **		 N/A N/A N/A

Copyright © 2017 Washington University.