Get Uahs Research Intake Application New Study Submission/feasibility Resubmission Form 2020-2025

Filling out the UAHS Research Intake Application New Study Submission/Feasibility Resubmission Form online is a crucial step in initiating your research project. This guide provides detailed instructions to help you navigate each section of the form effectively.

Follow the steps to accurately complete your form online.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin with the study contact section. Fill in your last and first name, phone number, and UA email address.
3. In the study overview section, provide the study protocol number or nickname and select the type of study from the dropdown menu.
4. If the study type is 'OTHER,' specify the project or study type in the provided field.
5. Next, answer the questions regarding device trials. Indicate whether the sponsor will provide the device, and if the institution needs to purchase it, upload the purchasing agreement.
6. Complete the submission type and protocol title fields, along with the funding source. If you choose 'OTHER' for funding source, provide a detailed explanation.
7. Fill in sponsor information, including the sponsor name and protocol number, if applicable.
8. Address the PHI questions by indicating whether PHI will be transferred outside UA or Banner Health, and select the HIPAA methods that apply.
9. Provide the principal investigator's information, including their name, email, and type of investigator.
10. Fill in anticipated enrollment information such as participant numbers and study visit dates.
11. Complete the ClinicalTrials.gov section, including the NCT number if applicable and specify if the study does not need to be registered.
12. Provide additional information regarding Banner/Dignity and UA facilities to be used for the study, detailing any specific resources required.
13. Complete the medical imaging section, indicating whether medical imaging is being used and if any special arrangements are needed.
14. Fill out the study agreement/contract section, providing all relevant contact details for negotiators.
15. Lastly, attach any required documents such as the application for human research, research personnel list, and consent forms as prompted.
16. Once all sections are completed, review your entries for accuracy before saving changes, and consider downloading, printing, or sharing the form as necessary.

Begin your application process by filling out the UAHS Research Intake Application online today.