Enroll your site on the Digital Research Network
This
internal only
database is utilized by Sponsors and CROs that come to Florence to identify tech-equipped sites for their studies. Activate today to showcase your site on our Digital Research Network.
First Name
Last Name
Job Title
Email
Your Company Name
Company/Organization Type
Please select...
Academic Medical Center
Cancer Center
Hospital/Health System
Independent Cancer Site
Independent Site
Site Network
Other
Please specify company/organization type
How many active studies are in your portfolio?
Please select...
Less than 10
11 - 25
26 - 50
51 - 100
Over 100
How many clinical research team members are on your staff?
Please select...
Less than 10
11 - 25
26 - 50
51 - 100
Over 100
Please select your site's therapeutic areas of expertise. Choose all that apply.
Allergy
Cardiology
CNS
Consumer (OTC)
Dental
Dermatology
Emergency Medicine
ENT
Gastroenterology
General Medicine
Hematology
Immunology
Infectious Disease
Nephrology
Nutraceutical
Oncology
Ophthalmology
Orthopedics
Pain
Pediatrics
Podiatry
Psychiatry
Rare Disease
Respiratory
Rheumatology
Surgery
Urology
Vaccines
Women's Health
By checking this box, you agree to Florence's
Privacy Policy
on behalf of your organization.
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Organization Street Address
City
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
State/Province
Business Phone
Other Phone
To help with study design, stakeholder collaboration and workflow planning, please indicate which clinical trial technologies your organization has available for study use.
Clinical Trial Recruitment
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Clinical Trial Recruitment: Please
indicate
the name of the technology provider
CRF
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
CRF
: Please
indicate
the name of the technology provider
CTMS
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
CTMS
: Please indicate the name of the technology provider
eCOA
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eCOA
: Please
indicate
the name of the technology provider
eConsent
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eConsent
: Please
indicate
the name of the technology provider
EDC
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
EDC
: Please
indicate
the name of the technology provider
eDiaries
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eDiaries
: Please
indicate
the name of the technology provider
EHR/EMR
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
EHR/EMR
: Please
indicate
the name of the technology provider
eLogs/eDOA
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eLogs/eDOA
: Please
indicate
the name of the technology provider
ePRO
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
ePRO
: Please
indicate
the name of the technology provider
eRegulatory/eISF
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eRegulatory/eISF
: Please
indicate
the name of the technology provider
eSource
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eSource
: Please
indicate
the name of the technology provider
eTMF
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
eTMF
: Please
indicate
the name of the technology provider
Patient Intake
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Patient Intake
: Please indicate the name of the technology provider
Remote Monitoring
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Remote Monitoring
: Please indicate the name of the technology provider
Remote Source Access
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Remote Source Access
: Please indicate the name of the technology provider
Remote Site Access
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Remote Site Access
: Please indicate the name of the technology provider
Safety/Adverse Event Reporting
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Safety/Adverse Event Reporting
: Please indicate the name of the technology provider
SIP (SIP eISF Connect)
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
SIP (SIP eISF Connect)
: Please
indicate
the name of the technology provider
Study Start-Up
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Study Start-Up
: Please
indicate
the name of the technology provider
Wearables
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Wearables
: Please
indicate
the name of the technology provider
Other
Please select...
We own
Sponsor Provides
Willing to use if sponsor provides
N/A
Other
: Please
indicate
the name of the technology provider
As the respondent to this form, please indicate if you are the site admin and/or if you have administrative responsibilities on behalf of your research site?
Yes
No
Please provide your site admin's information so we can reach out to verify enclosed information and make this profile live in the Florence database.
Site Admin First Name
Site Admin Last Name
Site Admin Email
By clicking "Submit" you consent for Florence to add the information provided to our database. This information is not sold or widely shared or distributed.*