DRAA Code ( Reference in Form 610)
Form DRAA-614
Final Approval Form
Name
*
First Name
Last Name
Larkin Email
*
example@larkinhospital.com
Personal Email
*
Research Title
*
Specialty Group
*
Please Select
Addiction Medicine
Allergy & Immunology
Anesthesiology
Cardiovascular Disease
Critical Care Medicine
Dental
Dermatology
Endocrinology
Family Medicine
Gastroenterology
Geriatric Medicine
Hematology & Medical Oncology
Hospice & Palliative Medicine
Infectious Disease
Internal Medicine
Mohs Micrographic Surgery
Nephrology
Neurology
ONMM
Ophthalmology
Orthopaedic Surgery
Pain Medicine
Physical Medicine & Rehabilitation
Plastic Surgery Integrated
Podiatry
Psychiatry
Radiology
Rheumatology
Sleep Medicine
Sports Medicine
Surgery
Campus
*
Please Select
Palm Springs Campus
South Miami Campus
Goodman
Research Type
*
Letter to Editor/Editorials
Review of Evidence (Systematic, Narrative,Scoping Reviews)
Descriptive Studies (Epidemiologics and Surveys)
Case Series
Experimental Studies
Quality Improvement
Qualitative research
Equity Studies
Health Economic Studies
Case Report
Grant
Co-Authors
*
Faculty Names
*
Name of Journal to be Published
Upload Published Article Here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is the Journal PubMed Indexed?
Yes
No
Journal Fee
Free Journal ( Recommended)
Other
IRB Approval
*
Yes
Exempt
Under Review
Upload Manuscript Here
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Approval Status
Submit
Final Form (DRAA-614 )Approval Date (To be filled by DRAA representative)
-
Month
-
Day
Year
Date
Email
example@example.com
Request Editing
Plagiarism
Grammarly
Scientific Editing
Other
Specialty Grp
Initial Form (DRAA -610) Approval Date
-
Month
-
Day
Year
Date
Should be Empty: