Advocate Health Care
a patient or visitor a physician or healthcare professional an employer
PrintEmail
Decrease (-) Restore Default Increase (+) font size

medical services home
search by doctor name 
Doctor Name Contains (Smart Search)
OR
search by specialty

search by city/zip code
Find a doctor near your location by entering a city name OR ZIP code.
Near:


Within miles:
0 1 5 10 15 30 30+

search by insurance
Insurance Name Contains (Smart Search)
 (what's this)
 
email forms manager

Advocate Health Research Support Center
Research Work Request Form
 2 week notice preferred

The mission of the Research Department is to promote multidisciplinary, lifelong learning that enhances the quality of care delivered and improves outcomes for our patients, their families, and our community. We believe the best way to achieve this mission is to partner with our fellow associates, affiliates, and students in a way that:
- Builds upon clinical enterprise (rather than doing research separately from clinical delivery),
- Plays to our strengths (i.e., focuses on quality of care, informatics, access to diverse patient population), and
- Elicits multiple utilities for a single project.
This means that we work side-by-side with investigators to plan, implement, analyze, and report on research studies. We act as a central resource that coordinates efforts, identifies resources, and provides support services.

Questions? Contact us at advocateresearch@advocatehealth.com or 847.384.3538 / 53-3538. Resources are available online at www.advocatehealth.com/research 



* Indicates required information
Name * 
Project Title * 
Phone * 
Pager 
Email * 
Advocate Site: * 
Department: 
Project Deadline *  (mm/dd/yyyy)

 

Please choose one of the following and provide corresponding info: 

 
School 
Advocate Mentor 
 
Program Affiliation 
Advocate Mentor 
 
Practice Group 
 
Location/Specialty 
Advocate Mentor 
 
Describe 
IRB Approval 

If Other, please specify:

Support Requested, check all that apply: 

IRB Support 



Research Design Support 




If Other, please specify:

Data Support 


Analytic Support 

Presentation/Publication Support 





Clinical Trials / Grant Support 


Resources Support 



Presentations / Lecture for the following topic(s): 







If Other, please specify:

Please attach a brief summary/abstract of your project to the request form. 
Authentication * 

If the challenge words are too difficult to read, click here to refresh.
 

quick links patient information health care professional information employer information connect with Advocate

About Advocate | Contact Us | Jobs | SiteMap | Terms of Use | Notice of privacy practices ®Advocate Health Care, Downers Grove, Illinois, USA | 1.800.3.ADVOCATE | TDD 312.528.5030