ClinicalTrials.gov


Blood: Clinical Trials and Observations

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Clinical Trials

Investigators Registration Form

An important part of the Anticoagulation Forum's mission is to facilitate research. To further this mission, we are developing a Clinical Trials Database to help match our members and their clinics to relevant research projects.

For organizations running clinical trials, the AC Forum membership is an excellent resource. In general, AC Forum member clinics are well organized and many have participated in important clinical trials in the past.

The AC Forum will filter the database and submit matched clinics to the organization running a trial. You will be contacted directly by the organization running the trial.

If you would like to be entered into the AC Forum's Clinical Trials database, please fill out the form below and press Submit.

Clinic Details

Principal Investigator

Co-Investigator
First Name

Last Name

Degree

Address (if different from clinic)


City

State /Prov.    Zip / Postal Code
   
Country

Phone (with country or area code)

E-mail
 		First Name

Last Name

Degree

Address (if different from clinic)


City

State /Prov.    Zip / Postal Code
   
Country

Phone (with country or area code)

E-mail

Additional Information

Names of Additional Investigators

Anticoagulation Clinic / Organization

Operational Director: First Name

Operational Director: Last Name

Main Address of Program


City

State / Prov.    Zip / Postal Code
   
Country
 Size of clinic (number of patients )


How many years have you conducted clinical trials?


How many study coordinators does your site have?


Does your institution have an IRB?

Enter the % of your anticoagulated patients that have:
AF %    DVT/PE %
Cancer-associated VTE %
Mechanical heart valves %