Forms for the following:

Click on the name of the area to review content information.  These documents are password protected. Access to secured documents requires an Emory University or Emory Healthcare login and password.

Clinical Trial Billing Department (CTBD)

Note: You must review the forms below through Emory's Healthcare Intranet Virtual Desktop (VDT).  Once you are logged into VDT, go to into Internet Explorer and the forms below can be view on CTBD's web page at http://www.ourehc.org/departments/tec-administration/patient-financial-services/interior_clinical%20trials.html. 

  • Charge Correction
  • TEC Grant Payment

Clinical Trial Tools

Devices

Emory Medical Laboratory (EML)

Emory Electronic Medical Records (EeMR)

The Emory Electronic Medical Record is the core of a patient centric environment and serves as the single source for information processing and access for a number of clinical processes and applications that integrate within the EeMR.  For more information, visit web page Emory Electronic Medical Records.

If you have study monitors that will need to review subjects charts in EeMR, please contact the following for people for the appropriate forms for the locations indicated:

Emory Research Management System (ERMS)

Note: The form below is used for Emory studies that are clinical trials with no Emory Healthcare billable procedures or services. These types of studies do not require OCR initial submission, however, the form must be submitted to OCR@Emory.edu before the study is activated in ERMS.

Interns

International Research

If you are conducting international research (whether as a student or as faculty), it is important to begin the IRB process as soon as possible.  For more information, please refer to Emory's IRB website at http://irb.emory.edu/forms/international.html.  Below are some helpful links.

Investigational Drug Services (IDS)

OCR Submission

Office of Quality

Radiology

Note: There are two research forms used for Emory studies that require Radiology services.  Please review the research forms below on the Department of Radiology and Imaging Sciences webpage.

  • Order for Research Study in Emory Radiology
  • Emory University Radiology Checklist