Project Request Form

Please complete and submit the form to register your project with Biostatistics@UHN.
Our team will review your request and promptly get back to you.

“For the former Biostatistics PM Request form, please visit: Biostatistics - Cancer Clinical Research Biostatistics Request Form (UHN intranet connection required).

Fields marked with an asterisk (*) are required and must be completed in order to successfully submit the form.

Project Principal Investigator

First name*:

Last name*:

Email*:

Phone Number*:

Institution*:

Department*:

Person Completing Form (if different from above):

First name:

Last name:

Email:

Phone Number:

Position:

Project Approval (Required field)*:

Has your study received institutional authorization?*

Project Funding (An account number must be provided):

Funding Type:

FCC/Foundation Account Number:

Comments:

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