The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

3J67aM4hfrYSn9zEB5ujFVqtn6v6Qv2m

REDCap Production Server Account Request

BEFORE YOU SUBMITT THIS PLEASE READ THE POLICY

Policy Per Redcap and Tulane IRB

Account requests for Redcap Production can only be made by full-time Tulane University Faculty and Research-associated Staff members that have redcap project roles on IRB approved Redcap Production Projects.

The requested user must have an active Redcap Training account and completed video training before they are allowed a Redcap production account and access to Redcap Research projects.

All users must have a valid and functional tulane.edu Email address before a Redcap user account can be requested for them.

Persons outside Tulane i.e. collaborators can be sponsored by a Tulane faculty member as a 'Tulane affiliate' once approved they receive a Tulane Email account.

Use this portal https://tulane.service-now.com/tulaneit click Request Something - Tulane Affiliate Account

Affiliate accounts must be renewed on an annual basis via the sponsor or the 'as designated' account manager on the form. This process is under Tulane Technology Services and accounts@tulane.edu .

Tulane Recap Policies require FERPA, HIPAA, and Tulane IRB compliance.

Have questions: Please email: redcap@tulane.edu or irbmain@tulane.edu

The purpose of this request is to:

* must provide value

Create User Account

Modify User Account

Revoke Access

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What is your assignment?

* must provide value

Tulane Faculty

Tulane Staff

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Date of Request

* must provide value

Y-M-D

Name of existing REDCap project for user access.

* must provide value

Are you requesting this account for yourself or someone else?

* must provide value

I will be using this account.

This account is for someone else.

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Are you the principal investigator of this project or study?

* must provide value

Yes

Not applicable for this project type

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Are you the project owner of this REDCap project?

* must provide value

Yes

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What is your role in the project or study?

Please complete with your information.

First Name

* must provide value

Last Name

* must provide value

Title

* must provide value

Department

* must provide value

Phone

* must provide value

User's Role in project?

* must provide value

First Name

* must provide value

Last Name

* must provide value

Status with Tulane

* must provide value

Tulane Faculty

Tulane Staff

Tulane Affiliate

Tulane Student

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Department

* must provide value

Phone

* must provide value

E-mail

* must provide value

User's Assignment

* must provide value

Faculty

Staff

Student

External collaborator

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User's Organization

* must provide value

Tulane SPH

Tulane Medical School or HSC

Tulane other

External Site

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Name of External Site

Was REDCap Training completed?

* must provide value

Yes

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Date of Training

* must provide value

Y-M-D

PI's First Name

* must provide value

PI's Last Name

* must provide value

Desired Start Date for User:

* must provide value

Y-M-D

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.