Get Uthealht Diagnostic And Interventional Imaging Approval Form

Filling out the UTHealth Diagnostic and Interventional Imaging Approval Form online is essential for any research project involving diagnostic imaging procedures. This guide offers detailed steps to ensure a smooth completion of the form, adhering to organizational policies and ethical standards.

Follow the steps to complete the UTHealth Diagnostic and Interventional Imaging Approval Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the study title in the designated field. This should succinctly describe the research being conducted.
3. Enter the principal investigator’s name, ensuring that the spelling is correct.
4. In the PI Contact section, include the phone number and email address of the principal investigator for communication purposes.
5. Select the department the principal investigator is affiliated with, ensuring that it matches organizational records.
6. Indicate the study funding source in the corresponding field, detailing whether the project is industry-sponsored or independently funded.
7. Check whether a DII Radiologist/Faculty is listed as study personnel by selecting either 'Yes' or 'No.' If 'Yes', enter the name, role, and effort percentage for the DII Radiologist.
8. In the section for DII Radiologist services requested, select the relevant services such as protocol development or report generation.
9. Choose all imaging/procedures that will be involved in this research project, marking each applicable option.
10. Select all applicable scan/procedure sites for the research study, providing additional specifications if necessary.
11. Specify the target enrollment number for the research study, which provides clarity on the intended participant count.
12. Add any additional comments or notes that may assist in processing the form.
13. For review purposes, if you are a DII reviewer, provide comments and apply your digital signature along with the date.
14. Once all sections are completed, save the form. You can then download, print, or share it as needed.

Complete the UTHealth Diagnostic and Interventional Imaging Approval Form online today to support your research initiatives.