GCRC
Patient Registration Form  |
- Study subjects can be scheduled by calling 323-6483
then
faxing a GCRC subject registration form (see below) to 323-1118.
- All subjects require registration in the hospital's
system. We ask
that you fax the GCRC subject registration form as soon as you
know your subject will be coming to our unit. Be sure
to include the study's IRB number and the attending
physician name where indicated on the form.
http://www.mc.uky.edu/gcrc/documents/OtpRegForm.pdf
- We understand there are occasions that you may not
have any
other information prior to subjects' arrival. In these cases the
subject can complete the form in our waiting area prior to their
GCRC appointment. We cannot send lab samples to the clinical
lab for analysis without the subject's registration in the system.
If we have the registration prior to the appointment, the
nurses can take the sample to the lab and there is less waiting
time for your results.
- Admissions to the unit overnight or for extended
stays should be scheduled as far in advance as possible,
but at the very latest, the Friday of the preceding week.
This requirement is to assure appropriate staffing for
evenings and weekends, which must be arranged with the
hospital
nursing
staff. If we have no patients scheduled, hospital nurses
are released to other areas to cover for the hospital
census. Simply check off the proper type of admission
on top of the registration form.
- We understand that subjects can qualify for studies
on short notice and you may wish to schedule walk-ins.
We will make every effort to accommodate you by working
in to our
daily schedule.
However, we ask that you call 323-6481 as soon as you
know of a subject that needs to be seen without prior
scheduling so we can properly prepare for your study.
The subjects' waiting time will be decreased if we can
prepare materials in advance. Please also be advised
that we must honor scheduled appointments prior to walk-ins.
- We understand that subjects fail to arrive for appointments,
cancel at the last minute, or may fail early screening
criteria. In these events, if you have an appointment
slot held, we ask that you please call and cancel so
that we may accommodate other investigators.
We hope this procedure is simple for you. Given
the increasing
number and complexity of GCRC protocols, we need to schedule staff
and resources efficiently. We will accommodate
your
request to the best of our ability and make every effort to ensure
the accuracy of sample collection, that quality
patient care is
rendered, and patient safety is maintained at all times.
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