physicians

Physician Information

HRHR is interested in learning about the research interests in our community. We would like to develop new collaborations with interested physicians. HRHR understands clinical research and simplifies the process of conducting trials. We invite you to submit your qualifications and research interests for consideration. There are many opportunities available to work together toward a common goal, the advancement of medicine.

Interested physicians or other healthcare professionals should complete and submit the following data. to HRHR's Medical Director, Dr. Chester L. (Tim) Fisher, will contact you directly to discuss your research interests. The information you provide is kept strictly confidential.

* These fields are required.
General Information
*Investigator Name:

*Institution/Company:
*Address:
*City:
*State:
*Telephone:
Fax:
Website Address
*Email:
*Contact Person:

*Contact Telephone:
Research Interests:
Practice Information
Therapeutic Specialty:
Facility Info: List available equipment, office size, lab, available research space, etc
Research Information
Has your practice ever conducted a clinical research study?
 Yes      No
If yes:
 #performed #pending #active
List Sponsors:
Does your practice use a database to track patients & enroll patients?
Yes      No
The number registered? #
# FT coordinators #PT coordinators
IRB
Can you use a central IRB?
 Yes      No
If local, list affiliation and IRB contact information.
Miscellaneous
Briefly describe your research interests and any other pertinent information about your practice.
Are you aware of other healthcare professionals interested in research opportunities?
Name:
Phone:
Specialty

 

For For more information, please contact us at:
Health Research of Hampton Roads
11747 Jefferson Avenue, Suite 1-B
Newport News, VA 23606
Phone: (757) 591-8100
Fax: (757) 591-8600

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