Investigators Join Our Network Name* First Last Address* Street Address Address Line 2 City State ZIP / Postal Code Email* PhoneFax Number Specialtiy Length of Research Experience List indications of previous experienceList indications you are most interested inWhat methods of recruitment does your site use?Does your Site have experience with Bioequivalence studies? Yes No Can you use a central IRB namely the Novum Independent Institutional Review Board? Yes No Can you use a central lab? Yes No Does Site have CLIA Certificate, CLIA Waiver, PPMP, etc.? Yes No If so, please attach copiesMax. file size: 10 MB.Does your Site have Clinical Trials Standard Operating Procedures (SOP)? Yes No Have all Investigators and CRCs been trained on Good Clinical Practice (GCP) Training? Yes No Has the site/investigator had any FDA audits? Yes No Has the site/investigator been issued any 483’s by the FDA? Yes No If so, please attachMax. file size: 10 MB.Have you self-identified with the FDA as required by GDUFA? Yes No If so, please provide FEI # Is the site part of a TMO, SMO, or Investigator Network? Yes No If applicable, please list address.CommentsCAPTCHA
