Next Steps For Australasian Hospitals to Join the GTC

Click each step below and follow the instructions.

  1. Use the form below to complete the Hospital Champions and User Access request.

      Institution Name

      PRIMARY CONTACT

      Indentify the person who will communicate with GTC staff to guide your institution through the sign-up process.

      Full Name

      Position/Discipline

      Email

      globaltrach.org
      Yes

      REDCap
      Yes

      HOSPITAL CHAMPIONS(S)

      Identify who will be the leader(s) in implementing the GTC at your institution.

      Full Name Position/Discipline Email globaltrach.org REDCap

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      ADDITIONAL USERS

      If there are any other people you would like to have access to the globaltrach.org hospital portal or REDCap, please identify them below.

      Full Name Position/Discipline Email globaltrach.org REDCap

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Yes

      Captcha
      captcha

    • Or fill out, scan, and email the Hospital Champions and User Access form to: cmilano@globaltrach.org
      Hospital Champions User Access Form
       
      Hospital Champions and User Access Form
    • You are now registered as a centre who is interested in joining.
    • “A guide to navigating your Ethics Committee or Review Board” and the Data Use (DUA) will be emailed to the primary contact.
    1. Obtain approval of the Data Use Agreement (DUA)
    1. Fill out, scan, and email the signed Ethics Committee Approval form and the signed Data Use Agreement (DUA) to: cmilano@globaltrach.org
      Ethics Committee Approval Form
       
      Ethics Committee Approval Form
    2. Please attach a copy of the letter of approval from your ethics committee.
    3. User name/password for members portal access will be emailed to the primary contact and hospital champion(s).
    1. Hospital Members Portal (requires sign in)
    2. This does not include access to the GTC REDCap Database, which will be sent once payment is received.
    1. Use the form below to request an invoice.

        REQUEST INVOICE

        Contact Name (Include Salutation)

        Contact's Title

        Contact's Email

        Contact's Phone Number

        Institution Name

        Institution Address

        Captcha
        captcha

        (all fields required)

      • Or send and email to members@globaltrach.org with the subject REQUEST INVOICE. In the email body please include your name, institution and contact information (email and physical address).
      • Further details and payment instructions will be sent to you once you request an invoice.
      1. User name/password will be provided to identified individual(s) who require access to the GTC REDCap Database.
      1. Begin using the GTC REDCap Database. (requires sign in)

       
      Australasian Activation Package
       
      Download the Complete Activation Package for Australasian Hospitals