Letters of Support from VAPHS Service Lines

Letters of Support from VAPHS Service Lines

<p>Letter of Support from VAPHS Research Investigational Drug Service for use of Controlled Substances in Animal Studies</p><p>Instructions: Complete the top portion of the following Memo and forward with a copy of your full research proposal to the Investigational Drug Service (mailstop: 151 CT-U or [email protected] ). The Research Investigational Drug Service will consider the impact of your study on the IDS, and respond accordingly. Your project cannot be approved without an affirmative Memo of Support. </p><p>DEPARTMENT OF VETERANS AFFAIRS VA Pittsburgh Healthcare System (VAPHS) </p><p>MEMORANDUM: Request for Investigational Drug Service (IDS) Support for Research</p><p>To: VAPHS Investigational Drug Service</p><p>From: , Principal Investigator</p><p>Research Project Title: </p><p>1. The Cooperation of the Service is requested to accomplish the goals and objectives of the above named research project. </p><p>2. Please review the attached protocol of this proposed research study. This is an animal research proposal and will require the following procedures involving the Research Investigational Drug Service:</p><p>3. These procedure(s) (check one) are or are not solely for the purposes of this research project.</p><p>Please assess if the impact on your service is acceptable. This proposal will be submitted to Research Office once your approval is obtained.</p><p>______Principal Investigator’s Signature Phone/contact information Date </p><p>Version 1.0 1/2012 Letter of Support from VAPHS Research Investigational Drug Service for use of Controlled Substances in Animal Studies</p><p>DEPARTMENT OF VETERANS AFFAIRS VA Pittsburgh Healthcare System (VAPHS) </p><p>MEMORANDUM: Service Support for Research </p><p>To: Associate Chief of Staff for Research (151-U) </p><p>From: Shirley Podnar, VAPHS Investigational Drug Service Pharmacist</p><p>Subject: Research Proposal (Title and PI Above) </p><p>I have reviewed the above proposal and have determined its impact will be of insignificant consequence to the Investigational Drug Service, which is willing to cooperate on the study without compensation. </p><p>I have reviewed the above proposal and, although it requires minor financial support, the Investigational Drug Service is willing to cooperate on the study without compensation. </p><p>I have reviewed the above proposal and determined it will be of significant cost to the Investigational Drug Service; financial reimbursement is requested at the rate of $. Reimbursement of service lines cannot be made to an individual or an individual Veterans Research Foundation of Pittsburgh (VRFP) account.</p><p>The Investigational Drug Service is not able to accommodate the requirements of this study. </p><p>Other Comments: </p><p>______Representative’s Signature Service Line Date </p><p>Concurrence:</p><p>______Vice President/Designee’s Signature Service Line Date</p><p>Version 1.0 1/2012</p>

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