PeDRA Study Designation Application

Please first read the PeDRA Study policy. Then complete the online form below and upload the “PeDRA Study Approval Form” for each study.
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Study Title:*
Principal (Corresponding) Investigator:*
PI Institution:
Site/Institution Address:
Corresponding PI Email:*

Please list all collaborators below. If a collaborator is a Co-PI on the study, please write "(Co-PI)" after their name.

Collaborator 1:
Institution 1:
Email 1:
Collaborator 2:
Institution 2:
Email 2:
Collaborator 3:
Institution 3:
Email 3:
Collaborator 4:
Institution 4:
Email 4:
Collaborator 5:
Institution 5:
Email 5:
Collaborator 6:
Institution 6:
Email 6:
Collaborator 7:
Institution 7:
Email 7:
Collaborator 8:
Institution 8:
Email 8:
Collaborator 9:
Institution 9:
Email 9:
Collaborator 10:
Institution 10:
Email 10:
Additional Collaborators:
Disease Specific Group:

Upload Study Approval Form:*