CTRC Visit Request Builder

participant + study info → requested time → email to CTRC

Fill out the appointment request form below, making sure to answer all questions marked with an asterisk (*). Then click "Copy request for email" and paste the request into your Outlook email. Send it to ctrcappointments@tuftsmedicalcenter.org.

Requested visit date & time

When you'd like this participant seen. The CTRC coordinator will confirm this or follow up with a different time.

Requested date *

Requested date is required.

Requested time *

Requested time is required.

Requested end time optional

Notes for the CTRC optional

Event title CTRC {Study Mnemonic} {PI Name} {Sponsor if provided}

Study mnemonic *

Study mnemonic is required.

PI name *

PI name is required.

SPID optional

Sponsor optional

Study identifiers description only

Department *

Department is required.

Visit / event type *

Visit / event type is required.

Event description

Subject first name *

Subject first name is required.

Subject last name *

Subject last name is required.

Subject ID *

Subject ID is required.

Tufts MRN optional

Date of birth *

Date of birth is required.

Race *

Race is required.

Ethnicity *

Ethnicity is required.

Sex *

Sex is required.

Live preview

Title will build here as you fill in study mnemonic and PI name…

SPID—

Title fields

PI—

Sponsor—

Description fields

Department—

Visit—

Subject name—

Subject ID—

Tufts MRN—

DOB—

Race—

Ethnicity—

Sex—

"Copy request for email" puts the requested date/time at the top, followed by all participant & study details — paste it straight into the Outlook message body. "Download tentative .ics" separately saves a calendar file you can attach to that same email — when the CTRC coordinator opens the attachment, Outlook will offer to drop it onto their calendar as a tentative "REQUESTED" appointment, which they can adjust the date/time on before accepting, or discard once the real visit is scheduled.