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Trial Submission Form

Participants in the Melanoma Consortium can enter new trial information, update trial information, or remove an existing trial, using the form below. Submissions will be reviewed prior to posting on the site. For more information, please contact Gail DeRaffele, RN at 212-342-0232 or gd2023@columbia.edu.


Please enter your contact information.

Name:
Institution:
Phone:
Email:

Do you want to (check one):

Enter a new trial
Update an existing trial
Remove an existing trial

Trial Title:
IRB Number:
Trial Institution/ Site:
PI:
Contact Phone:

Comments: