University of Vermont

College of Medicine

Office of Clinical Trials Research

University of Vermont College of Medicine Office of Clinical Trials Research

Request for OCTR Services

To request services at this time, please check all items of interest and complete the information below. (A budget for OCTR services will be prepared for your review)

CONTACT INFORMATION

Draft   Final  

Inpatient   Outpatient  


PRE-STUDY SERVICES

IRB submission & follow up
Study budget preparation/negotiation (Based on final protocol)    
Cencer Center Protocol Review & Monitoring Committee (PRC) submission & follow up (as appropiate)
Assistance with pre-study site visit    
Study initiation  
Attendance at Investigator's Meeting  


COORDINATOR SERVICES

Subject Screening
Subject Enrollment
Patient Scheduling
Study Drug Administration
Coordination of Protocol Procedures
Patient Monitoring/Adverse Event Reporting
Completion of Case Report Forms
Coordination of Monitor Visits
Arrange Long-Term Record Storage
Specimen Packaging and Shipping


OTHER

Use of Clinical Research Space
Study Development Services (patient registries, electronic case report forms, etc.)     Please Specify:
Other Services Not Listed Above     Please Specify:
I would like more information on OCTR Services
I would like general information about conducting sponsored clinical trials


* = Required Field

Last modified August 09 2013 01:18 PM