DOH COVID-19 Evidence Form
The DOH COVID-19 Evidence database is intended to consolidate completed, ongoing and planned local research, analysis, rapid reviews and other technical papers related to COVID-19, making this information known to the public, and reducing duplication of efforts.  The information that will be made publicly available include study title, names and institutions of the investigators, cooperating agencies (if applicable), study sites, FDA Clinical Trial Reference Number (if applicable) and status of the study.

We enjoin everyone to register current efforts to find solutions to and contribute to scientific knowledge on COVID-19 by accomplishing this DOH COVID Evidence Database form.

Disclaimer: Responsibility for the use of information provided in this database shall rest upon the users.  All data that will be gathered from users, such as when registering an account, will be processed in accordance with the Data Privacy Act of 2012.   While the Department of Health will make every effort to ensure that information made publicly available is complete and accurate, the DOH makes no warranties, express or implied, nor representations as to the accuracy of this content on its platforms.
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Contact Information of the person accomplishing this form *
Name of Institution *
Full title of the study *
Type of research *
Implementing Agency/ Sponsor *
Cooperating Agency *
Funding Agency *
Principal/ Coordinating Investigator *
Site/s (please list all) *
FDA Clinical Trial Reference Number *
Research ethics committee approval (Name of REC) *
Research ethics committee approval date
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Project start date *
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Project end date (actual or anticipated) *
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Status *
Remarks
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