Electronic Form: Local Launch Team Members

BE SURE TO WATCH ALL LAUNCH TEAM VIDEOS HERE AND READ THE GUIDELINES BEFORE COMPLETING THIS FORM.

Please use your written worksheet to complete this form for each of the members of your Local Launch Team.  There is additional space at the bottom should you feel the need to add additional team members.  

Clinical Team Representative

Name of Clinical Team Representative

Data Management Specialist

Name of Data Management Specialist

Senior I.T. Specialist

Name of Senior I.T. Specialist

Training Coordinator

Name of Training Coordinator

Senior Management

Name of Senior Management Representative

Pharmacy Specialist

Name of Pharmacy Representative

Additional Launch Team Members

The above staff members should be adequate as the primary members of your Local Launch Team. Having a team larger than this can sometimes make it more difficult to coordinate; however, if you feel that additional members should be added to the team, please enter them below.
Name of Additional Launch Team Member #1

Name of Additional Launch Team Member #2

Organization & Site Details

Launch Guidelines, Worksheets, and other Tools

emrXL Upgrade Guidelines

Worksheet:
Launch Team Members

Online Form:
Launch Team Members

Worksheet:
Drug Categorization

Online Form:
Drug Categorization

Worksheet:
Room Details

Online Form:
Room Details

Worksheet:
I.T. Infrastructure