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Request for Approval

MLIRB’s “Request for Proposal” process is an easy tool to request pricing information for your next project. By completing the information as thoroughly as possible, we will be able to provide a customized, competitive proposal that identifies all of your IRB study-related services.

CONTACT INFORMATION

Name *
Title
Company
Company Type
Phone
Email *
Preferred means of communication

STUDY INFORMATION

Therapeutic Area / Indication
Phase of Study
Estimated Study Start Date

IRB SITE INFORMATION

Number of Central IRB Sites *

CONSENT DOCUMENTATION INFORMATION

Number of Consent Forms

RECRUITMENT MATERIAL

Number of Recruitment Materials Submitted by the Sponsor *
Will sites be submitting additional Recruitment Materials?
MLIRB’s policy requires that all materials submitted by the site are approved by the Sponsor and/or CRO prior to our review.
Will Consent Forms and additional study-related materials require translations?
If yes, what languages?
Please check the following boxes if you are interested in additional IRB services
Additional information you would like to provide regarding this study
How did you hear about MLIRB?