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Forms

  • Contract Certification Form
  • IRB Forms and Information
  • Sponsor Study Budget Template - Sample
  • Departmental/Internal Budget Template - Sample
  • WBS Element Advance Account Request
  • Service Agreement – payable (processing through Finance and Operations)
  • Additional Terms and Conditions to this Service Agreement

Billing Compliance

  • UT Clinical Trial Billing Procedure
  • Medicare Coverage Analysis - Determination of Qualifying Trial
  • Routine Cost Under a Medicare Qualifying Trial
  • Billing Grid A (fillable)
  • Billing Grid B (fillable)

Billing Compliance in Clinical Trials Research Conference (May 2010)

UTMG

  • Request to Conduct Research - UTMG
  • UTMG Study Specific Agreement
  • UT-UTMG Master Clinical Research Study Site Agreement

The MED

  • Master Research Agreement
  • Application of Approval (Form 1)
  • Request for Research (Form A)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Research Quick Links

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Research Partners

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Contact Us


Trenton Pitts, J. D.
Associate Director
910 Madison Avenue, Suite 823
Memphis, TN 38163

Phone: (901) 448-3303
Fax: (901) 448-3943
E-mail: tpitts6@uthsc.edu

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