(IBC) Pre-Registration Form - California Pacific Medical Center - cpmc: Fill out & sign online

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Click ‘Get Form’ to open the IBC Pre-Registration Form in our editor.
Begin by entering your Principal Investigator Name and contact details, including Phone, Date, and Email. This information is crucial for communication regarding your project.
Specify the Proposed Study Initiation Date and Project Title. Ensure these are accurate as they set the timeline for your research.
In Table 1, assess the Risk Group of your project based on the provided classifications. Select the appropriate Risk Group (RG1 to RG4) that corresponds to your study's biohazardous agents.
Answer whether your project should be exempt from IBC review. If yes, provide a detailed explanation and attach relevant documents as required.
Complete the Affirmation section by acknowledging responsibility for safe conduct and training of personnel involved in the research.
Finally, return the completed form to Virginia Giblin via fax or email as indicated at the bottom of the form.

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