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Click ‘Get Form’ to open the CCTS Clinical Support Registration Form in the editor.
Begin by filling in the date at the top of the form. Indicate if this is an amendment by selecting 'Yes' or 'No'.
Complete the IRB Title, Protocol Number, and Principal Investigator (PI) details including their Blazer ID and department.
Provide contact information for both yourself and any coordinators involved, including names, phone numbers, and emails.
In the Funding Sources section, check all applicable options and provide grant numbers where necessary. Specify if they are funded or pending.
Select the Type of Study by checking all relevant boxes that apply to your research.
Fill in study details such as grant number, phase of study, number of UAB participants, and duration in months.
Choose the services you require from CCTS by checking all relevant options provided in the list.
Finally, provide additional information about your service needs in the designated area before submitting your completed form via email as instructed.

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