Facts and Forms

Forms
Use the links below to open the forms for printing, and then bring them to the office when you visit.

Health History for New Patients
Health History UPDATE (for existing patients)
HIPPA Consent/Privacy Practice
Medical Chart Release

PATIENT RECRUITMENT AND DEMOGRAPHICS

In addition to being able to recruit patients through our Investigators and their extensive private practices, CKRA maintains a research patient database of over 13,000 receptive trial volunteers. The recruitment staff strives to ensure that prospective patients are thoroughly screened on the phone prior to their office visit to help eliminate screening failures. This staff is also driven to make certain CKRA meets or exceeds contracted enrollment on all trials it commits to.

Advertising, when deemed appropriate, is coordinated through our experienced in-house advertising agency. This relationship allows CKRA to significantly reduce enrollment costs as well as save valuable recruitment time by working directly with media outlets. CKRA has extensive experience in mass mailing, print, radio and television (network and cable) advertising.

Within a day's drive of 75% of the population of the US , Lexington is strategically located at the intersection on Interstate 64 and Interstate 75. Located in the heart of Central Kentucky , Lexington and the surrounding area's population consists of 70% of people who range in age from 18-65. This age group is the primary target for the majority of clinical research trials. Specialized demographics include:

Central Kentucky Population

Lexington: population 250,000

Surrounding area: population 450,000

18 Colleges, Universities and Business/Technical schools population: 50,000

Ethnic Diversity

Caucasian 83.9%

African American 13.8%

Other 2.3%

Gender Distribution

Female 52%

Male 48

STAFF

Over 20 multi-therapeutic Investigators board certified in the areas of: Critical Care Medicine, Dermatology, Family Practice, Gastroenterology, Internal Medicine, Nutrition, Obstetrics & Gynecology, Pediatrics, Podiatry, Psychiatry, Pulmonary Disease, Reproductive Endocrinology, Rheumatology, and Urology

8 Research Coordinators

Laboratory Technician and Phlebotomist

Full-time Operations, Administrative and Recruitment Staff

Quality Assurance Manager

OSHA Coordinator

Regulatory Administrator

PRN Registered Dietician and Staff Therapist

EDUCATIONAL PROGRAMS/CERTIFICATIONS

CKRA's bi-monthly newsletter, HealthScope, is sent to current and past participants offering informative medical articles and often featuring local physicians in their area of expertise

CKRA participates in local area health fairs and educational seminars

Comprehensive mentoring and continuing education programs to assist with on-site clinical research training

Comprehensive SOPs

FAA certified staff for the shipment of hazardous materials

CLIA certified laboratory - Provider Performed Microscopy Procedures

Clinic Staff certified in smoking cessation counseling

CKRA's community involvement includes providing hands-on training to students participating in medical assisting externship programs through local colleges and universities.

CPR certified staff

OSHA Compliant

HIPAA trained staff in research guidelines

Compliant with all applicable HIPAA mandated requirements

DIAGNOSTIC/CLINIC EQUIPMENT

Freezer (-20º Celsius)

Doppler Ultrasound

Diagnostic Bladder Ultrasound

RigiScan

Transrectal Ultrasound

Refrigerated Centrifuge

Fully Stocked Crash Cart

Dry Ice available daily

Ambulatory Monitoring

Stadiometer

12 lead EKG

Drug Storage - limited access, temperature monitored

Refrigerated Drug Storage

Narcotics Safe

CKRA also has access to the following equipment:

Exercise Testing

CAT Scanner

CT Scanning

Sleep Lab

Phase I Research Unit

Ultrafast Nuclear MRI

Cardiac Stress Test

Cystometry

Radiography

Transcutaneous Oxygen Measurements

Mammography

Diagnostic X-Ray

DEXA

INSTITUTIONAL REVIEW BOARDS

CKRA is not under the jurisdiction of a local Institutional Review Board (IRB) and must use a Central IRB. Some Central IRB 's utilized are: SAIRB, WIRB, NEIRB, RCRC, Quorum, Essex , Copernicus, Goodwyn, Lee Coast and Chesapeake .