Complete and submit the following inpatient or outpatient registration forms to schedule subjects at the CRU:
Inpatient Registration Form
Bedded IP Registration Form
Outpatient Registration Form
Off Site Registration Form
1. Before a subject can be scheduled at the CRU, there must be:
- A NMH research account number.
- An in-service held for CRU staff with PI and coordinators in attendance.
- An e-version of final orders sent to the CRU nurse liaison.
- Final orders signed by the principal investigator.
- An IRB approval and stamped consent form(s) sent to the Research Subject Advocate.
2. When scheduling subjects please have 2-3 possible times and dates per subject visit.
Contact for scheduling visits:
Administrative Secretary
Jacqui Grullon
mgrullon@nmh.org
(312) 926-4452
3. Tips to Scheduling: - Call CRU 1-2 weeks in advance of proposed appointment.
- Call CRU with 2-3 possible visit times.
- Confirm tentatively approved time with subject.
- Send CRU completed registration form to confirm visit.
- If several visits are planned (e.g. wk 2, wk 4, wk 6, etc) then schedule several visits at one time.
- No walk-ins allowed!
4. Registration Forms
• Registration forms must be faxed (312) 926-8450 or dropped by the CRU (Feinberg 10).
- NMH doesn’t allow the registration forms to be e-mailed
- The CRU must receive the registration form to confirm an appointment
• Please fully complete the registration form.
The forms must be entered into the program NMH Cadence. If any fields are missing [e.g. subject date of birth] or if the information is incorrect [e.g. Smythe vs. Smith], a visit cannot be entered. The cadence program does not remember previous entries so: - Please completely fill out a form for each visit
- Make a template for repeat subjects so the form can be easily updated by simply filling in visit date information.
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