Study Specific Disclosure Forms

Study Specific Disclosure Form -GUMC

Study Specific Disclosure Form -Medstar/GU

Each “investigator“ must submit a Georgetown University Study Specific Disclosure Form as part of each protocol application. “Investigator“ includes the principal investigator and any other person who is responsible for the design, conduct, or reporting of research.

Questions about the Georgetown University Study Specific Disclosure Form can be directed to the Office of Regulatory Affairs, Conflicts Regulation Office at 202-784-5313 orCOIGUMC@georgetown.edu

Guidance for Conflicts Disclosure in Publications and Presentations

Financial and/or Intellectual property interests (e.g. patents or patent applications) must also be disclosed in all related press releases, publications and presentations.

*Please note that SSDFs for GU affiliated individuals or individuals with eRIC credentials should be submitted through the electronic submission system.*