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Center for Clinical Studies Forms

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Center for Clinical Studies FORMS: Downloads Downloads On-Line
Format: Microsoft
Word

Microsoft Word
Adobe Acrobat Reader
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Computer Transmission
on-line submission
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: ClinicalTrialsCreditReq@bjc.org
N/A N/A N/A
Lab Directors - Curriculum Vitae
Laboratory directors signed CV for the regulatory binder
N/A BJH - Eby
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
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
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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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