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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 or 847.384.3538 / 53-3538. Resources are available online at 

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


Please choose one of the following and provide corresponding info: 

Advocate Mentor 
Program Affiliation 
Advocate Mentor 
Practice Group 
Advocate Mentor 
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 * 

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