Get Acrin 6697 Protocol Specific Application

Completing the ACRIN 6697 PROTOCOL SPECIFIC APPLICATION is an essential step for institutions participating in this randomized phase II trial. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the ACRIN 6697 Protocol Specific Application.

1. Press the ‘Get Form’ button to access the application form. This will open the form in the editor for you to start filling out.
2. Fill in the ACRIN institution number. If your site is not affiliated with ACRIN, make sure to complete the ACRIN General Qualifying Application separately to obtain an ACRIN institution number.
3. Provide the name and address of your institution. Make sure to include all relevant details, such as street address, city, state, and ZIP code.
4. In section A, list all members of the study team, including the nuclear medicine physician/radiologist, ACRIN research associate/coordinator, lead PET/CT technologist, RTOG principal investigator, and RTOG research nurse/coordinator. Ensure that each person’s address, telephone number, fax number, and email address are correctly filled in.
5. Section B requires you to detail the imaging equipment and scanning procedures. Confirm whether your site can perform the required PET/CT scanning as per the protocol.
6. In section C, indicate if your facility plans to enroll participants in the FMISO substudy. Based on your response, follow the additional instructions provided for this section.
7. Section D asks about the information technology infrastructure. Make sure to confirm your site's ability to submit FDG PET/CT images and provide information about the TRIAD software and specifications needed for installation.
8. Review all of the collected information to ensure accuracy. Once you have completed all sections, save your changes.
9. Download, print, or share the application as required. If sending via email, use the preferred email address provided in the submission information.

Complete your documents online today to ensure a smooth application process.