If you are requesting rights to access and use clinical applications on the Clinical Oncology Research Entrance (C.O.R.E.), or eSubmission please complete this form. This form is for a single proposed user; we can not review multiple users within a single form.

If you are seeking access to Identifiable Patient Information, please be prepared to verify or take data confidentiality training. You may be asked to upload verification of training.

You may save and leave this form at any time. If you save and leave before you submit a completed form, you will receive a return code. To return to the survey, open the link to the survey and in the upper right hand corner select "Returning." Then copy your code into the space provided. If your supervisor needs to sign this form, you may forward the code to your supervisor to give him or her access.

If you have questions, please call email Martin Tran at mdtran@fredhutch.org.

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