The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

TH9YEMPKmVPUf9Dd6URKym8DSpZz7ty8NK5a8xB3PVrYLgyUWJVsBAedcy7NrbgBqP

Population Studies Facility Service Request Form

Please submit this form to send a request to the Population Studies Facility.

You can also reach Population Studies Facility by submitting request through Service Now portal or contacting TUHS Helpdesk at (215) 707-7008

Applications --> Application issue --> Research Apps --> Select PSF Application to report issue
Applications --> Application Modification Request --> Research Application --> Select PSF Application to request update
Enterprise Reports & Data --> Enterprise Reports & Data Request --> QI and Research --> Oncology --> Provide details of the data request
Access --> Access Request --> Standard Applications--> Request access to eIRB, OnCore and other standard research applications

Please contact Informatics.Help@fccc.edu if you have any questions

Request date:

Please provide your name:

* must provide value

Please provide your email address:

* must provide value

Phone number (optional)

Please select option that describes your position

* must provide value

Faculty

Clinical Fellow

Clinical Resident/Intern

Medical Student

Visiting Scientist

PostDoc

Student

Staff

Other

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Primary campus

* must provide value

Cottman Avenue Campus

Health Science Campus

TU Main

Other

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Please select request type:

* must provide value

Data request

New REDCap project request

Excel to REDCap conversion request

Software Access request

Software Bug/issue report

Software Improvement request

Grant writing request (data management section, budget estimate)

Other

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Please select request type:

Feasibility/Preparation for Research

IRB Approved Research

Other/Not sure

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Please select data source(s) for this request:

REDCap

Presage

Research Datamarts (see list here)

Epic

Tumor Registry

Other/Not sure

If you are requesting a new REDCap or PRESAGE project for a research study, please complete PSF Study Configuration Form

If you are requesting access to REDCap or PRESAGE project, please complete User Access Request Form. For other systems please continue with submission of this form

Please provide IRB number if available

Please provide Application Name

Please provide Application URL if known

Please give your request a short name:

* must provide value

Please describe your request and click Submit

* must provide value

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Upload file

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