PERT Intake Form

To submit your study for PERT review and collaboration, please complete the information requested below.

Type of study
Is this a multi-centre study?
Is this a PERC approved study?
Is Health Canada approval required?
Has Health Canada approval been obtained?
PERT Research Nurses required
PEMRAP required
Services requested
Stage of Project
How many years of a budget attributed to PERT?
Please attach any relevant study material (Protocol, Budget, Case Report Forms, Standard Operating Procedures etc.) as 1 file only
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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