Coordinator Name:Click Here to Enter Text.Phone : Click Here to Enter Text

Coordinator Name:Click Here to Enter Text.Phone : Click Here to Enter Text

Coordinator Name:Click here to enter text.Phone: Click here to enter text.

IRB Record Number:Click here to enter text.PI: Click here to enter text.

Sponsor:Click here to enter text.

The information below is to be advertised via:

ACHRI or ACHRI affiliated Website: ☐ACH Physicians Fax Newsletter: ☐

Facebook: ☐SMS (text) Marketing: ☐

Twitter:☐Other: Click here to enter text.

Complete the form below with the desired information to be advertised and submit to the UAMS IRB. Once the IRB approval is received, attach a copy of the approval letter to this form and send to ACHRI Clinical Trials Office at Slot #842 or . Please note that some sponsors do not allow advertisement via social media sites (i.e. Facebook, Twitter). If project is being funded by industry or other contract, verification of their approval is also required. Contact Janet Storment at 501-364-2760 if you have any questions.

ACHRI Currently Enrolling Studies Web Page Posting

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Study title (does not have to be protocol title): Click here to enter text.

Study Description: Click here to enter text.

Study Eligibility: Click here to enter text.

Contact Name and Number: Click here to enter text.

Facebook Posts

Enter below the exact wording that you would like to have posted on Facebook. Keep the message as brief as possible. Consider linking to the ACHRI Currently Enrolling Studies page rather than including all the study info in the body of the Facebook post. For example: To learn about a study that is available for children with allergy to peanuts, visit us on the web at ...

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Twitter Posts

Enter below the exact wording you would like to tweet. Tweets are limited to 140 characters.

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SMS Marketing (Text Message Distribution of Study Information)

Enter below the exact wording you would like to have sent via text message to individuals who have signed up to learn about clinical research via text alerts. Messages are limited to 134 characters.

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ACH Referring Physician Fax Newsletter

Enter below the exact wording that you would like to have placed in the ACH Physician Fax Newsletter. This newsletter is sent to over 900 referring primary care physicians statewide.Please limit to 2-3 sentences and include link to additional information.

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Other

Describe below any other advertising opportunities, including content.

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