Research Registration Instructions

Updated December 2012

For Each New Study Participant:

1. Complete a CTO Enrollment Form.
   • Every participant in IRB approved clinical trials must be enrolled in the CTO database using the Enrollment Form.
   • Forms are editable and can be sent to CTO via fax or email (gucto@georgetown.edu).
   • The enrollment form only needs to be filled out one time for each study participant.
2. A hot pink card Research ID Card will be created for all study participants except those enrolled in healthy volunteer studies. Healthy volunteer participants will receive a lime green card.
3. Distribute the Research ID card to your study participant.
4. Instruct your study participant on use of the Research ID Card. The study participant needs to be instructed to present the card at each study-related visit. 
5. For each trial-related test or service, you must obtain a physician signed Order and that order must indicate the RX number. 
6. The study coordinator should schedule the test/service on behalf of the study participant and the RX number must be provided to the scheduler as the Alternate Insurance. 
7. At the time the study participant presents for the test/service:
   • Present the order
   • Present the research ID card
   • Re-iterate that RX is to pay for the service

Please note: 
Registration personnel may not complete the patient registration if the participant does not have a Clinical Trials ID card.

If you have not submitted the forms requested above, your participant will not have a research account in the hospital billing system.  They may be denied service (including dispensation of study drug from the research pharmacy) or their bills may be incorrectly sent to insurance. 

Announcements

• New Radiation Safety Process and Forms
• Need your informed consent form translated?
• Laboratory CAP and CLIA documents available

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