Forms



  • Request for Research Pyxis Account Form
    • For providing non-study medications needed for participant’s care while on CRU (e.g. Benadryl, Tylenonl, single-dose Lidocaine, etc.)
    • Fax the completed form to Patient Access 24 hours in advance of your participant’s appointment.
    • Patient access will provide the appropriate account to the CRU.
    • Once the process is complete, the Grant # will be billed for any non-study medication(s) used.