Use this form to request:

1) New PRS user Account(s)
PRS = Protocol Registration and Results System ( user entry website)

2) Access to Study Records

The Clinical Research Quality (CRQ) office will process your request within 1-2 business days, and will send you an email once processing is complete.

Please complete Requester / Investigator information below, then select Request type.

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.