Uploading of application forms for the supporting departments - CTC

Your application

S number

Please fill in the correct Snumber so that the application forms are linked to the correct study. Complete with the 5 digits. Start with S. For example S12345.

Contact study team

Contact study team
Contact study team

Email address contact person study team

Contact company

Email address contact company

Protocol

Initial submission or amendment

Initial submission

Submission linked to a protocol amendment

Attention: if more options are applicable for one amendment, the form has to be completed several times.

E.g.: 1 form for the addition of pneumology and nuclear medicine and 1 form for the adaptations of the medical laboratory.

Specify amendment

Addition of supporting department(s) not yet involved

e.g.: Pneumology will be added as a supporting department because of the addition of a spirometry or nuclear medicine will be added due to the addition of a PET-CT scan.

Changes for involved supporting department(s)

e.g.: Medical laboratory will perform extra analyses in addition to the initial requested analyses.

The department(s) are no longer involved for this study

e.g.: Function test cardiovascular diseases is no longer involved since the sponsor will provide an ECG machine.

Upload protocol amendment

Choose a file

Only applicable for amendments.

Upload your application forms and/or manuals.

Only one file can be uploaded per section. If multiple files require uploading, please group them in a single compressed zip file.

Medical devices pharmacy

Aanvraagformulier

Choose a file

Manual

Choose a file

Biobank

Application form

Choose a file

Manual/ICF

Choose a file

Only one file can be uploaded per section. If multiple files require uploading, please group them in a single compressed zip file.

Centre for human genetics

Application form

Choose a file

Manual

Choose a file

Forensic medicine/mortuary

Application form

Choose a file

Manual

Choose a file

Function tests cardiovascular diseases adults

Application form

Choose a file

Manual

Choose a file

Function tests cardiovascular diseases children

Application form

Choose a file

Manual

Choose a file

Pneumology

Application form

Choose a file

Manual

Choose a file

Medical laboratory

Application form

Choose a file

Manual

Choose a file

Nuclear medicine

Application form

Choose a file

Manual

Choose a file

Pathology

Application form

Choose a file

Manual

Choose a file

Dermatology

Application form

Choose a file

Manual

Choose a file

Gynaecology

Application form

Choose a file

Manual

Choose a file

Ophtalmology

Application form

Choose a file

Manual

Choose a file

Consultation ears-nose-throat

Application form

Choose a file

Manual

Choose a file

Neurology

Application form

Choose a file

Manual

Choose a file

Radiology

Application form

Choose a file

Manual

Choose a file

Pharmacy

Voor apotheek geneesmiddelen is er een apart elektronisch formulier (opent in een nieuw venster).

Last edit: 22 April 2022