Contracting Templates
Device Study Medicare Pre-approval Forms
OCR Submission Forms
- Procedure Coding Questionnaire
- Billing Grid (legacy)
- Device Table
- Drug Table
- OCR Submission Intake Form
- QC OnCore Calendar Checklist
- Schedule of Events Template
- Treatment Arm Details
Procedure Coding Request (PCR) Forms
(formerly known as Confirmation of Services (COS) forms)
- Cardiac Cath Lab
- Cytogenetics
- Investigational Drug Services (IDS)
- Lab & Pathology
- Operating Room, Anesthesiology, and Surgery
- Radiology
- UF CTSI Clinical Research Center (UF CRC)
- UFHP Clinics
- All Other UF Health Locations
Regulatory Forms
Research Order Forms
(formerly known as R99 forms)
As of 2020, study teams should be entering all UF Health research orders into Epic. In ADDITION to Epic orders, the following service areas still require paper research forms:
- UF Cytogenetics (to accompany specimens)
- UF Health Lab/Pathology (to accompany specimens)
- UF Health Blood Draw Station – Extra Research Tube Off SOC Draw
- UF Health Operating Room Investigational Device Implants (IDE)