Redcap Database Request Form
Basic details on the Redcap Project and Ownership
What is the title for the Redcap Project
Your answer
Describe the project
What the project is, what data is collected etc.
Your answer
Person(s) owning the project
Please list one or more contactable persons
Your answer
Contact Details for owner(s)
Please Include: Phone Number, Email, Address
Your answer
Indicate how long the data will be hosted for in Redcap
Date if known, when the project hosting the data will no longer be required
MM
/
DD
/
YYYY
Is this a longitudinal project i.e. are repeated measures collected?
e.g. visit 1, visit 2 etc.
Have you discussed hosting and setup costs?
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