Step 1 of 5 - Your contact details

Step 2 of 5 - Study description

Step 3 of 5 - Study details (for EDC license)

Including any planned Televisit using Viedoc Connect.

Excluding ePRO/eCOA forms managed in Viedoc Me.

Step 4 of 5 - Additional services / products

Step 5 of 5

Please check the correctness and completeness of the information below before sending the request.

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Full name
Organization
Phone number
E-mail
Study name (short name)
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Study type
Study region(s)
Viedoc Server Instance preference
Therapeutic area
Sponsor type
Sponsor name
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Protocol ID (optional)
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Estimated size of the study:
months, subjects, enrolled subjects, sites, visits, forms
Viedoc Designer
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Contact me for information about how my organization can become certified in study setup
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I want to use Viedoc Me to handle ePRO / eCOA data in the study
expected submissions / subject, questionnaire forms, languages
I would like to use Viedoc Connect for Televisits (secure video calls)
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I want to manage randomization and trial supply (RTSM) in my study using Viedoc Logistics
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I want to manage trial documents using Viedoc TMF for
months
Medical Coding
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Randomization
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Data Import (Lab)
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I want to apply for the free license initiative
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FPA Date
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Other information (optional)
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Attachments
  • -
Send a copy of the offer as an e-mail to (optional)
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Currency
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How did you find out about us?
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Viedoc is a leader in Electronic Data Capture (EDC) on G2
May 16, 2023

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