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Sentara Health Research Center - Research Request Form

Thank you for your interest in collaborating with the Sentara Health Research Center. Please fill out the information below so a member of our team can better assist you with your request. This form should be used to request Sentara's participation in providing testing, procedures, services, recruitment of subjects, etc., as part of an approved clinical trial and for sponsors inquiring about Sentara's interest in participating in a clinical trial.

Is the study coordinator information different than the contact information listed?
Are you requesting Sentara's participation to provide testing, procedures, services, etc., as part of an approved clinical trial?
Are you requesting to place a flyer in a Sentara facility in order to recruit participants for an IRB approved trial?
Are you a sponsor inquiring about Sentara's interest in participating in a clinical trial?
BRIEF Summary of the Study


Therapeutic Area
  • Cardiac
  • COVID-19
  • ENT
  • Internal Medicine
  • Neurology
  • OB/GYN
  • Oncology
  • Orthopedics
  • Pulmonary Critical Care
  • Vascular
  • Other
Is this study IRB approved?
What Sentara facility will be used?
Select all that apply
  • Sentara Albemarle Medical Center
  • Sentara Brock Cancer Center
  • Sentara CarePlex Hospital
  • Sentara Halifax Regional Hospital
  • Sentara Leigh Hospital
  • Sentara Martha Jefferson Hospital
  • Sentara Norfolk General Hospital
  • Sentara Northern Virginia Medical Center
  • Sentara Obici Hospital
  • Sentara Princess Anne Hospital
  • Sentara RMH Medical Center
  • Sentara Virginia Beach General Hospital
  • Sentara Williamsburg Regional Medical Center
  • Other
Sentara Department(s)


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