Biostatistics Core Consultation Request Form

If you are interested in requesting a consultation with the Biostatistics Core, please complete and submit the form below.

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Supervising Investigator Information

Principal Investigator First and Last Name

Principal Investigator Email

Principal Investigator Phone Number

Principal Investigator Department

Principal Investigator Division / Center

Have you used this service in the past?

Primary Contact

Is the primary contact person different from the above?

Primary Contact Role

Primary Contact First and Last Name

Primary Contact Email

Primary Contact Phone Number

Project Information

Working Project Title

Subject Matter and Disease Area

Brief Project Description

Please provide a goal or specific aims for the proposal.

Most Immediate Deadline

Expected Project Completion

Is this project IRB approved?

Is this a funded project?

If yes, provide name of funding agency

If yes, provide grant number

If yes, provide analysis budget amount

If this is not a funded project

Is this a proposal to generate preliminary data for a grant application?

Does this project fall under Medical Education?

Which Medical Education Program?

Who is the supervising faculty or mentor?

Did the supervising faculty or mentor approve this submission?

What is this request for?

Services Requested

Study Design

Questionnaire Design

Power Analysis

Protocol Development

What data sources will be used for this project?

Preparation of public use or repository datasets

Database Creation and data entry

EHR Data Extraction

EHR Data Download

Statistical Analyses

Basic statistical analysis of existing data

Statistical testing

Predictive Modeling

Summarization and interpretation of statistical results

Advanced models (e.g., machine learning, AI)

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Biostatistics Core Consultation Request Form | NYU Grossman Long Island School of Medicine | NYU Langone Health

Biostatistics Core Consultation Request Form

Supervising Investigator Information

Primary Contact

Project Information

Services Requested