| Clinical Investigators Needed:
Hudson IPA has been working this past year to develop a program we feel will offer great opportunities for additional revenue and innovative options for affordable EMR.
Through an exclusive IPA partnership with eCast, a Raleigh, NC based software and clinical trials company, Hudson IPA will be offering a unique program that combines both clinical trials revenue and a discounted EMR. In order to implement the program, Hudson IPA must identify existing Clinical Investigators within the network. While your response constitutes no obligation to become part of the program, it will provide us with important demographic information regarding network experience and interest.
This is critical to the program’s foundation and success.
If you have already performed clinical trials, or your practice currently performs clinical trials, please complete the form below and fax back to Hudson IPA. All experience counts – there is no need to limit your information to recent experiences. You may go back as far as your residency.
Even if you are unsure about your interest in participating, please let us know about your experience.
This constitutes no obligation from you.
Please complete the attached form and fax to Hudson IPA at (914) 333-0254
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. I hav
Op Option 1: I have no experience but would like to discuss participating when the opportunity becomes available.
Print Name_______________________________________________________________
Contact number __________________ Practice Name____________________________
Option 2: I am a Practice/Physician currently involved in trials with my own in-house Clinical Trials Coordinator interested in discussing opportunities.
Print Name______________________________________________________________
Contact number __________________ Practice Name____________________________
Option 3: I have participated in clinical trials in the past. (Please complete grid below-use additional sheets if necessary)
Print Print Name______________________________________________________________
Contact Number__________________ Practice Name___________________________
Study Indication |
Protocol Number |
Sponsor |
Approx. No. Subjects Enrolled |
Approx. Dates of Study Involvement |
Role
(PI or Sub-I) |
Name of Principle Investigator (if applicable) |
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