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Clinical Trials Unit
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Request for Clinical Trials Unit (CTU) Services
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Request for Clinical Trials Unit (CTU) Services
Request for Clinical Trials Unit (CTU) Services
Requester
Full Name
Email Address
Department
Contact Name
Phone
Project Name
Principle Investigator
Sponsor
IRB Number (if available)
Funding Type
Industry
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Other Funding Source
Please specify funding source if not listed above.
Please specify the services you are interested in:
Facility Use
Clinical Coordinator Support
Contract Routing
Budget Negotiation
Drug Storage
Regulatory Submission and Maintenance
Equipment
Lab Usage
Other Additional Services
Please specify any additional services not listed above.
Protocol
Click here to attach your protocol, if available.
Choose File (For Protocol)
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Choose File (Additional Documents)
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