PROTOCOL SPECIFIC MATERIALS
6678 PROTOCOL APPLICATION AND SITE ACTIVATION MATERIALS
For an overview of ACRIN application process, click here

General Qualifying Application (GQA)
The GQA must be completed if your site has not been approved previously to participate in ACRIN clinical trials. GQA Form [DOC]

Protocol Specific Application (PSA)
Each site interested in participating must complete the PSA. ACRIN 6678 PSA [DOC]


Other Forms
Forms Required Prior to Site Activation
Statement of Investigator[PDF]
Case Reimbursement Form [DOC]

User Registration for Web-Based Data Entry

All site study related personnel should request an individual Login Name and Password if they will be registering patients or entering accrued patient data on the ACRIN website.  A Reader ID should be obtained for all Radiologists that will participate and/or read study related images.  The ACRIN Login Name and Password should not be shared with other study site personnel.

An ACRIN Login Name and Password or Reader ID can be obtained using the link below:
User Registration for Web-based Data Entry [External Link]