By signing this document, the enrolling physician (principal investigator or PI) agrees to abide by all rules and regulations surrounding the conduct of this research study as established by the USIDNET Registry. If required by your institution, we will consider modifications to this document. Please send any proposed changes to USIDNET staff to obtain the necessary approvals.
Approved enrolling institutions are eligible to receive reimbursement for entering their consented patients' data into the USIDNET Registry. A fully executed chart reimbursement agreement must be in place between USIDNET and the enrolling site. USIDNET will reimburse a fixed amount for data entry, which does not include indirect costs.
Once a chart reimbursement agreement is in place, your site should complete the chart submission form that contains an approximate number of consented patients that you plan to enter and subsequently for which you will request reimbursement. This allows us to track progress and ensure that all charts submitted meet the reimbursement criteria.
To issue payment for submitted cases, please submit an invoice for reimbursement. You may use an existing invoice template from your own institution if desired. Otherwise, you are welcome to use the USIDNET template to enter your institution’s information and charge items.