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Request For Proposal

Harrison IRB's Request for Proposal process provides an easy solution for you to request pricing information for your next project. By completing the information as thoroughly as possible, we will be able to provide a customized, competitive proposal that identifies all of your IRB study-related services.

Contact Information
Name:
Title:  
Company:  
Company Type:  
Phone:  
Email:  
Preferred means of communication:   
Name of CRO:  

Study Information
Therapeutic Area / Indication:
Phase of Study:
Length of Study:
Estimated Study Start Date:
US Only Global Study

IRB Site Information
Number of Central IRB Sites:
Estimated Number of Massachusetts Sites:
Estimated Number of Puerto Rican Sites:
Estimated Date of Protocol Submission to IRB:

Consent Document Information
Number of Consent Forms:
  Informed Consent Document
Pharmacogenetic Consent
Assent Document
Pharmacogenetic Assent
Other  

Recruitment Materials
Number of Recruitment Materials Submitted by the Sponsor:
Will Sites be Submitting Additional Recruitment Materials?:

Harrison IRB's policy requires that all materials submitted by the site are approved by the Sponsor and/or CRO prior to our review.

Will consent forms and additional study-related materials require translation?
Yes No Unknown at this time
If yes, what languages?

Please check the following boxes if you are interested in additional IRB services:
  Document Review by the Board Prior to Submission
Consent Form Consultation Prior to Board Review
Site training
Other   

Additional information you would like to provide regarding this study:
 

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