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CLINICAL SITE INFORMATION FORM (CSI)APA Department of Physical Therapy EducationRevised October 13, 2010INTRODUCTION:The primary purpose of the Clinical Site Information Form (CSI) is for Physical
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How to fill out clinical site information form

01
Start by gathering all necessary information about the clinical site, such as its name, address, and contact details.
02
Begin filling out the form by providing the general information about the clinical site, including its name, type of facility, and accreditation status.
03
Move on to the section related to the clinical site's location, where you will need to input the complete address, including city, state, and ZIP code.
04
Proceed to fill out the contact information section, which should include the phone number, email address, and name of the primary contact person at the clinical site.
05
Provide details about the clinical site's availability and facilities, including the hours of operation and any specialized equipment or resources available.
06
If applicable, provide additional information about the clinical site's affiliations, collaborations, or partnerships with other healthcare organizations.
07
Complete the form by reviewing all the entered information for accuracy and ensuring that all required fields have been filled out.
08
Once you are satisfied with the information provided, submit the form as per the specified instructions or through the designated online portal.
09
Keep a copy of the filled-out form for your records in case of any future reference or verification.

Who needs clinical site information form?

01
The clinical site information form is typically required by any organization or individual involved in medical or healthcare education or research.
02
This includes educational institutions offering clinical training programs, researchers conducting studies at clinical sites, and regulatory bodies overseeing healthcare facilities.
03
In most cases, students or professionals pursuing healthcare education or clinical experiences may also be asked to provide clinical site information as part of their program requirements.

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The clinical site information form is a document used to collect and provide detailed information about a clinical research site, including its capabilities, credentials, and operational specifics.
Clinical research sites, including hospitals, clinics, and other healthcare facilities that participate in clinical trials, are required to file the clinical site information form.
To fill out the clinical site information form, you need to gather all necessary information about the site, including contact details, staffing information, facilities available, previous trial experience, and any relevant certifications or accreditations.
The purpose of the clinical site information form is to ensure that regulatory bodies and sponsors have accurate information about the site, which is essential for compliance and effective study management.
The form must report information such as site name, location, principal investigator contact details, site capabilities, previous study experience, and any relevant institutional approvals.
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