Forms must be downloaded in order to save them. To do so, right-click the link, click "Save Target As...", then choose the destination on your computer.
Account Closeout Request Form- Used to request the closure of a clinical study when funds vest with UT. (Rename and save the PDF form to your hard drive, complete and forward within your department for approval. Return to CRF when completed.)
Billing Risk Questionnaire: This form determines if it is necessary to complete a coverage analysis. Please complete and submit to CRF prior to beginning the coverage analysis forms.
Coverage Analysis Device Questions: This form is used to determine if the device study meets the necessary billing requirements.
Coverage Analysis Drug Questions: This form is used to determine if the drug study is deemed and qualified.