Through a partnership with the VCU Health System and VCU, a standardized fee schedule has been developed. This fee schedule will be updated yearly and distributed prior to the February 1 effective date. CMS rates will be used for non-industry studies and 150% of CMS rates will be used for industry studies. Ancillaries will be required to utilize these fixed rates to provide study teams with service agreements and quotes.

If you have any questons concerning the use of the Request for VCU Health System Clinical, Nursing and Ancillary Support Services, please contact Clinical Research at (804) 828-9227 or clinical.research@vcuhealth.org.

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The survey below should be completed to request ancillary services from the VCU Health System. This survey will assist study teams in gathering quotes from ancillaries for budgetary purposes. For more detailed instructions about completing this, please click the attachment below which will provide instructions, samples, and other documentation needed to expedite your request.
Study Information
M-D-Y
M-D-Y
Ancillary Services Needed - Must check at least one for your submission to be properly routed and processed

*Note* If checking Anesthesiology, Surgery or Operating Room, all three ancillaries will be sent to the requestor. If you are positive that any of the three will not be needed for your study, other than the one you checked, you do not have to complete that particular ancillary follow-up request
You have selected "Register a trial and drug management plan without investigational drug service dispensing".

Please go to the following link to complete the Investigational Drug Service Form to complete this request.

Register a trial and drug management plan without IDS dispensing

If the link does not work please copy and paste the following link in a web browser.

http://www.investigationaldrugs.vcu.edu/investigator/registertrial.html
You have selected "Investigational Drug Services".

Please go to the following link to complete the Investigational Drug Service Form to complete this request.

Investigational Drug Services

If the link does not work please copy and paste the following link in a web browser.

http://www.investigationaldrugs.vcu.edu/investigator/registertrial.html
Document Upload
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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.