The CRS Application form is common to all CRS facilities, and includes more detailed information. If you have questions, please contact the CRS Protocols Managers.
The Institutional Review Board (IRB) application needs to be filed separately; IRB approval is required for all CRS protocols involving human participants. We encourage you to review the IRB submission process directly on the IRB website.
Key CRS Application Links
- CRS Budget Request Form (Word)
Required to indicate CRS resources requested to implement the research protocol - IRB Full Committee Review Application (Required)
Review Submission Process & Apply via iRIS
Study Implementation Forms — After IRB Approval
Moffitt Hospital
- Moffitt MD Inpatient Orders Form (Word Template)
- Moffitt MD Outpatient Orders Form (Word Template)
- Moffitt Separate Medication Orders Form (Word Template)
Benioff Pediatrics
- Benioff Pediatrics Outpatient Visit Request (Word Template)
- Benioff Pediatrics Outpatient Guidelines FAQ (Word Template)
- Benioff Pediatrics Outpatient Orders (Word Form)
Zuckerberg San Francisco General
- ZSFG Physician Orders (Word Template)
- ZSFG Protocol Start-up Synopsis (Word)
Form to be presented at start-up meeting with CRS staff - ZSFG Flowsheet (Word Template that is compatible with our printer)
ZSFG Adverse Event Reporting (AER)
- ZSFG Adverse Event Reporting (AER) Form (Word)
- ZSFG Research Protocol (PDF)
- ZSFG Investigational Drug Form (Word)