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UCLA Health Procurement & Strategic Sourcing

Procurement & Strategic Sourcing

UCLA Health Procurement & Strategic Sourcing
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Procurement & Strategic Sourcing

About Us

About Us

About Us

  • Owens & Minor Distribution
  • New Vendor Add Request
  • Value Analysis Program
    • Value Analysis Committee (VAC) Request
    • Value Analysis Committee (VAC) Request Disclaimer
  • IRB and Clinical Study Trials
    • IRB and Clinical Study Trial Request Disclaimer
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    • One-Time Request Disclaimer
  • Instrument/Product/Equipment Evaluation Request
    • Instrument/Product/Equipment Evaluation Request Disclaimer
  • Link to Staff Use Only
  • Owens & Minor Distribution
  • New Vendor Add Request
  • Value Analysis Program
  • IRB and Clinical Study Trials
  • One-Time Request
  • Instrument/Product/Equipment Evaluation Request
  • Link to Staff Use Only
  • IRB and Clinical Study Trial Request Disclaimer
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  4. IRB and Clinical Study Trial Request Disclaimer

IRB and Clinical Study Trial Request Disclaimer

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Please read before proceeding to fill out the form

By clicking on the IRB request form button below, you acknowledge and consent to the following important disclaimers:

  • The IRB Request Form should only be used to obtain EMPAC numbers for the procurement of devices for your IRB and Clinical Study Trials.  If there is any question related to this, please contact Tynysha Moseley, tmmoseley@mednet.ucla.edu

  • The IRB request form has no save feature. Please make sure to have all necessary information and documentation (e.g. FDA HDE letter, IRB approval notice, supporting documents, etc.) prior to starting your submission form.

  • Requestors MUST reattach all files to the form during the second attempt if an error occurred during original submission. The request will not go through and an error message will appear.

  • The IRB and Clinical Study Trial Request portal is intended for UCLA Health only. Users must be connected to the UCLA network (intranet) to access this form.

 

IRB Request Form

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