Forms, Tools & Templates

Start-Up Forms

• Intake Form for New Studies
  • Intake Form (MFA SharePoint)
  • Intake Form (GW SharePoint)
• MTA/DUA Form
  • MTA/DUA Form (MFA SharePoint)
  • MTA/DUA Form (GW SharePoint)
• Conflict of Interest Form
  • Conflict of Interest Form (MFA SharePoint)
  • Conflict of Interest Form (GW SharePoint)

Epic

• Epic Access for Study Monitors Request Form
• Cosmos Access Request Form
  • Cosmos Access Request Form (MFA SharePoint)
  • Cosmos Access Request form (GW SharePoint)
• SharePoint Form - If you are requesting data from Epic, please complete this form (Coming soon)

Source Document Templates

• Adverse Event (AE) Log
• Audit Follow-Up Report Template
• Deviation Log
• Device Accountability Log
• Delegation of Authority (DOA) Log
• Enrollment Log
• ICF Checklist
• Medical History
• Monitor Visit Log
• Note to File
• Phone Contact Form
• Regulatory Binder Checklist
• Serious Adverse Event (SAE) Log
• Sample Tracking Log
• Screening Log
• Subject Communication Log
• Training Log