Other obligations List if any Collaborator [copy to add tables [Name of Collaborating Institution] for additional collaborators] Principal Investigator: This person will sign the agreement Name Position Address Telephone Facsimile E-mail Other investigators: Research Project obligations: Role Prepare protocol Supply questionnaires Manage research staff Identify participants Provide access to medical records Consent participants Data collection Data analysis Report and manuscript preparation etc Materials and other in-kind List if any eg provision of any tissue samples or data contributions Reports List who will prepare the annual progress report to the Northern Health HREC (if applicable). NOTE: annual progress reports are NOT required for QA/NRR projects. Delete this section for QA/NRR projects) Other obligations List if any
Other obligations List if any Collaborator [copy to add tables for additional collaborators] [Name of Collaborating Institution] Principal Investigator: Name Position Address Telephone Facsimile E-mail This person will sign the agreement Other investigators: Research Project obligations: Role Prepare protocol Supply questionnaires Manage research staff Identify participants Provide access to medical records Consent participants Data collection Data analysis Report and manuscript preparation etc Materials and other in-kind contributions List if any eg provision of any tissue samples or data Reports List who will prepare the annual progress report to the Northern Health HREC (if applicable). NOTE: annual progress reports are NOT required for QA/NRR projects. Delete this section for QA/NRR projects) Other obligations List if any
11_MOU_LRR_or_QualityImprovement_Mar16.docx