CIFASD Data Access Request Form

Thank you for your interest in requesting use of CIFASD Research Data for your project to improve the diagnosis and treatment of children prenatally exposed to alcohol. Please complete the requested information via the following Data Access Request (DAR) form to propose access to CIFASD research data. The CIFASD Data Access Committee (DAC) will review your request and be in touch within two weeks following submission. Sincerely, CIFASD (http://cifasd.org)

PLEASE NOTE: This DAR must be submitted by an Authorized Representative from the institution responsible for this research project and which will also take responsibility for the appropriate protection of the data made available via a successful request. Both the Qualified Investigator and the Authorized Representative must sign and submit a CIFASD Data Use Agreement before a DAR can be approved.

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