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Application Protocol Requirements

What application forms do I need to submit?

All applications must submit the NEAF (National Ethics Application Form). This can be found at http://www.ethicsform.org/au/ 

Princess Alexandra Hospital Site Specific Requirement
There are specific requirements of the PAH Human Research Ethics Committee and the PAH Commercial Business Unit (coming soon).
 
The following forms must be completed and returned with your application:

• Signed Resource Form

o         Where research projects place demand on the resources of various PAH Departments such as the Departments of Radiology or Pathology, beyond that which is required for the routine clinical management of patients, the extra requirements must be approved by the Director of the relevant Department(s) and a Resource Form must be completed, signed and submitted to the Ethics Secretariat.

o         All approvals for Pathology services should be signed by Dr Kee Cheung (on behalf of Dr Michael Wiley, the Director of Queensland Health Pathology Services). Phone 3240 2398.

o         All trials involving drugs must be notified to the Director of Pharmacy to ensure that there is a central record of drugs being used in research. Agreement should be reached with regard to storage and handling of items involved. The signature of the Director of Pharmacy will be required on the Resource Form

• Application / Submission Summary Form
• All non-pharmaceutical sponsored studies are required to complete the National Ethics Application Form (NEAF) this form can be accessed from http://www.ethicsform.org/au/.

 

Contact Details for Research Services

 

Department:	Pharmacy
Name:	Robyn Hurley
Role:	Clinical Trials Pharmacist
Address:	Princess Alexandra Hospital, Ipswich Road, Woolloongabba QLD 4102
Phone:	(07) 3240-2029
Fax:	(07) 3240-7668
E-Mail:	robyn_a_hurley@health.qld.gov.au

 

Department:	Pathology
Name:	Jake Farr-Wharton
Role:	Client Liaison Officer, Pathology Queensland, Princess Alexandra Hospital Laboratory, Clinical and Statewide Services, Queensland Health
Address:	Princess Alexandra Hospital, Ipswich Road, Woolloongabba QLD 4102
Phone:	(07) 3240-5072
E-Mail:	jake_farr-wharton@health.qld.gov.au

 

Pharmacy Charges For Sponsored Trials	Amount
Establishment and Administration Costs	$600/trial
Ongoing Administration Costs	$250/year
Fridge Storage Fee	$100/year
Finalisation Fee	$200/trial
Dispensing Fee	$30 -$200/patient visit*

*For dispensing one item depending on study requirements