Requestor's Name:
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Phone number:
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Company name:
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Title:
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What type of support do you need?
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I'm looking for vendors and/or wish to compare quotes
I want to hire freelancers/consultants
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Role(s) required [indicate additional roles in 'Other' if necessary]:
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Clinical Research Associate
Clinical Project Manager
CRA Line Manager
Site Start-Up Specialist
Clinical Trial Assistant
Medical Monitor
Medical Writer
Clinical Data Manager
Biostatistician
Pharmacokineticist / PK Consultant
Auditor/Quality Consultant
SOP Consultant
Pharmacovigilance Specialist
Regulatory Consultant
Preclinical Consultant
Therapeutic Medical Expert
Business Development Consultant
GCP / Company Trainer
NAATI Certified Translator
Other
Indication & Trial Phase:
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Resource/Role Details:
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Additional notes (please include budget for hourly rate if possible):
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Vendor(s) required [indicate additional vendors in 'Other' if necessary]:
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CRO
CDMO
Preclinical
Bioanalytical lab
Central lab
Local lab
Imaging, ECG
Clinical Data Management/Biostatistics
Pharmacovigilance
Regulatory
Clinical Trial Supply
eClinical: ePRO, CTMS, EDC, IRT, eSource, Data analytics
Patient recruitment
Medical equipment rental
Home nursing / Patient travel
Translation
Other
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Type of request required:
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Please Select
Request for Information (RFI)
Request for Quote (RFQ)
Request for Proposal (RFP)
RFI: To gather information; RFQ: To request quotes when needs are defined; RFP: When customized solutions is required and to seek proposals.
Indication & Trial Phase:
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Please provide brief study information that will assist with the request:
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e.g. Anticipated start date, study duration.
Indicate information required from the vendor:
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Do you require Freelance Clinical or the vendor to sign a Confidentiality Disclosure Agreement (CDA)?
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Yes
No
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Would you be willing to support our Honest Review initiative? (hover over text to learn more)
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