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Form 872 Carmel Indiana: What You Should Know

Gastroenterology and Gastroendocrinology (GOD) — Clinical Research and Training Hospital—Carmel, IN 45064 Contact us at for more information on Form 872, Consent To Expand Time for Assessments Voluntary Disclosure and Eight-Year, Limited Time Statutory Expedited Trial Disclosure to Appointees—Indiana University School of Medicine Contact us. See attachment file with detailed Instructions Gastroenterology Respiratory Laboratory. Indianapolis. Phone: Fax Indiana University School of Nursing — Marion (Lacrosse Campus) Indiana University School of Pharmacy Purdue University. Phone: Indiana University Health Sciences Center Purdue University. Phone:, Extension: Purdue University Hospital (Part of Indiana University Health Sciences Center.) Phone:, Extension: Indiana University Health Sciences Center—Indianapolis (Lacrosse Campus) Indiana University Health Sciences Center—Indianapolis (Lacrosse Campus) Phone: Nationally Recognized Clinical Research Program — Indiana University Health Sciences Center Phone: Maternal and Child Health Research Institute, Indiana University Phone:, Fax:, Ext. 688 Indiana University Health Sciences Center Indiana University Health Sciences Center—Indianapolis (Lacrosse Campus) Indiana University Health Sciences Center—Indianapolis (Lacrosse Campus) Phone: (Office Hours) The Indianapolis Health Department has established a Consent to Assess Program for Research (CASE) to accept the voluntary disclosure of data and provide timely and equitable assessment of the safety, effectiveness and acceptability of investigational technologies by the Indiana University Research Foundation's (IU Research Foundation) clinical scientists. Through your informed consent, a voluntary disclosure will be made at no cost to you in order to evaluate the potential benefits and risks of certain investigational technologies and products. The consent to disclosure form includes three parts: a statement of the potential benefits and benefits. No charge.

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