Appendix IV Sample Call Center/Registration Form Appendix V Sample of Request for Clinical Research Center Support Request for Clinical Research Center Support Instructions: To inquire regarding support of the Baylor St. Luke’s Medical Center (BSLMC) Clinical Research Center (CRC), please complete this form and email to . A member of the CRC team will contact you to schedule a feasibility meeting. Principal IRB of record #: Investigator: Study funding source: Industry Non-industry Expected/requested CRC Estimated study duration start date: (years/months/days): Anticipated total number Anticipated total # of CRC of subjects to be seen at visits per subject: CRC: List each visit you wish to have conducted at the CRC, including the anticipated day of the week, start time, and number of hours/visit. Attach the study schedule of events and clearly indicate which Completed procedures will be performed by CRC nurses and which by study staff. Study supplies and equipment
Appendix IV Sample Call Center/Registration Form Appendix V Sample of Request for Clinical Research Center Support Request for Clinical Research Center Support Instructions: To inquire regarding support of the Baylor St. Luke’s Medical Center (BSLMC) Clinical Research Center (CRC), please complete this form and email to . A member of the CRC team will contact you to schedule a feasibility meeting. IRB of record #: Principal Investigator: Study funding source: Industry Non-industry Expected/requested CRC start date: Estimated study duration (years/months/days): Anticipated total number of subjects to be seen at CRC: Anticipated total # of CRC visits per subject: List each visit you wish to have conducted at the CRC, including the anticipated day of the week, start time, and number of hours/visit. Completed Attach the study schedule of events and clearly indicate which procedures will be performed by CRC nurses and which by study staff. Study supplies and equipment
Guide%20to%20Conducting%20Clinical%20Research%20at%20BSLMC%20Rev.%205.30.18.docx