ICN Prep-to-Research Inquiry form

Prep-to-Research queries are used to identify the number of patients in the ImproveCareNow database who meet your research study’s inclusion and exclusion criteria. They are useful for study planning. Prep-to-research queries return aggregate, de-identified counts. If you would like to use ImproveCareNow’s research data for your study, please fill out this form for us to better understand your data needs. If you have any questions, please reach out to research@improvecarenow.org.

Name

First NameLast Name

Email

example@example.com

Center

Role

Brief Description of Research Proposal

What is the date range of the visits that should be considered when performing the query?

Example: 2013-2026*This date range will be applied to all data queries.

What is the age range of the patients that should be considered when performing the query? Please include as of when: at diagnosis, at registration, last visit, or other.

Example: 7-18 years old

If medications are included in the query, please provide the medication details, including generic names.

Are there any other inclusion or exclusion criteria that should be considered for this query?

Example: Race, Gender, Geographics

Are there any specific diagnoses that should be included or excluded in the query? If so, please specify the diagnoses and the applicable time point.

Example: UC, ICD, Chron's and registration, diagnosis data, last visit.