UAHN System User Agreement for Monitors (UAHN)

Must be submitted every three years or if contact information for the monitor or coordinator changes. Submit this form no sooner than one week prior to the day that monitor access will be needed.Monitors who do not have a signed and current UAHN System User Agreement must fill out and sign a new agreement. Ensure that at least one study IRB number is entered on the form, along with the dates that the monitor will be on-site. If the monitor is working on more than one study that requires access to records, we recommend that all of the study IRB numbers be included on the form. Fax the form to (520) 694-0222. The study coordinator can also check CARS (in Citrix) or contact the UAHN helpdesk (694-4357) to check if a monitor already has a signed and current UAHN System User Agreement.