Get the free CLINICAL SITE INFORMATION FORM - web.utah.edu - web utah
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PT Department Phone PT Department Fax PT Department E-mail Clinical Center Web www. renown.org Address Director of Physical Lisa Mukavitz Executive Director Therapy Center Coordinator of Clinical Education CCCE / Contact Person CCCE / Contact Person Phone APTA Credentialed Clinical Instructors CI List name and credentials Joe Volcskai PT Kayley Peacock PT Frannie Svendsen PTA Susan Williams PT Amanda Cook PT Jeph Daley PT Laura Andrews PT Jen Bainton PT Joel Peck PT Laura Garcia PT Doug...
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How to fill out clinical site information form
How to fill out clinical site information form
01
Read the instructions provided with the form thoroughly to understand the requirements.
02
Gather all the necessary information required to fill out the form, such as contact details, address, and relevant clinical site information.
03
Ensure you have access to all the supporting documents that are required to be attached with the form.
04
Start by entering your personal details, such as your name, title, and contact information.
05
Provide accurate and complete information about the clinical site, including its name, address, and contact details.
06
Fill in the specific details about the clinical site, such as the type of facility, number of beds, and services offered.
07
Attach any additional documents as instructed.
08
Review the completed form for any errors or omissions.
09
Submit the form through the designated method, such as online submission or mailing it to the appropriate authority.
10
Keep a copy of the filled-out form and any supporting documents for your records.
Who needs clinical site information form?
01
Individuals or organizations planning to establish or operate a clinical site.
02
Healthcare professionals looking to provide clinical training or supervision at a specific site.
03
Educational institutions requiring information about affiliated clinical sites for their students.
04
Licensing authorities or regulatory bodies overseeing the operation of clinical sites.
05
Research institutions conducting clinical trials or studies at specific sites.
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What is clinical site information form?
The clinical site information form is a document used to collect details about the location where clinical trials or research studies will be conducted.
Who is required to file clinical site information form?
The principal investigator or the sponsor of the clinical trial is required to file the clinical site information form.
How to fill out clinical site information form?
To fill out the clinical site information form, provide accurate details about the site location, facilities, contact information, and any other relevant information related to the conduct of the clinical trial.
What is the purpose of clinical site information form?
The purpose of the clinical site information form is to ensure that the site where the clinical trial is conducted meets the necessary requirements for conducting research studies.
What information must be reported on clinical site information form?
The clinical site information form must include details such as the address of the site, facilities available, contact information, IRB approval status, and any other relevant information.
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