Clinical Trials Resource Center

FDA Site Inspection Form

NOTICE OF UTHSC SITE INSPECTION

Please fill out this form immediately upon notification of a site inspection by a regulatory authority. 

Top of Form

PI's Name 
 
Study Title and IRB Number: 
 
UTHSC Department and Main Contact 
   
Date(s) of Inspection: (mm/dd/yy) 
 
Who is Conducting the Inspection: (e.g., CDER/FDA) 

Work Phone :  

Email Address:  

 

Is this For Cause? Any other relevant Information: 

  

 

Upon submission, this will distribute a notification to designees within the departments of CPHS, CTRC, Institutional Compliance, and Auditing and Advisory Services.

Bottom of Form