Clinical Research Contract Administration Office
Confidentiality Agreement Request Intake Form
Help Text: Use this form for CDA submissions in anticipation of human subject's research only. Otherwise, submit your request via the appropriate portal (SIFTER or SOPHIA)
Help Text: This field is to help determine urgency and when the anticipated disclosure is set to take place.
Help Text: Safety information, protocol information, two-way development, Information Protection (IP) surrounding products, expertise, or disease area, etc.
Help Text: CHOP does not share patient data or materials under a CDA. If you intend to share patient date or materials, please contact CRCA at ClinicalResearchContracts@chop.edu
Contract template file
Please include any additional information you would like the contract negotiator to be aware of.