EAST Center Sign-Up (Multicenter Trials)

Interested centers can participate in a current, approved, EAST Multicenter Trial by completing the center sign up form below.  IRB approval is not required for Center Sign-Up.  Once received, please send IRB approval documentation to the assigned PI of the EAST MCT study.  

The EAST Current Approved Studies can be found at https://www.east.org/research/east-multicenter-trials/current-approved-studies. 

What is the title for the EAST MCT you wish to join?*

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Your Center Information

Center Name:*

Country:*

Address Line 1:*

Address Line 2:

City:*

State:*

Postal Code:*

Check all that apply:*

• Rural
• Urban
• Teaching
• Nonteaching

Size of your hospital:*

• <100 beds
• 100-499 beds
• 500 beds or more

ACS certified trauma center:*

• Yes
• No

Trauma Level*

• 1
• 2
• 3
• 4
• 5

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Center PI Information

Principle Investigator for Center:*

Country*

Address Line 1:*

Address Line 2:

City:*

State:*

Postal Code:*

Phone:*

E-mail:*

Name(s) & e-mail(s) of any additional necessary contact(s):

Code

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If you have any questions or need assistance please contact the EAST Administrative Office at rdixon@east.org or call (312) 202-5616.