Biostatistics Core Consultation Request Form

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

Indicates required field

Supervising Faculty First and Last Name

Supervising Faculty Email

Supervising Faculty Phone Number

Supervising Faculty Department

Supervising Faculty Division/Center

Primary Contact First and Last Name

Primary Contact Role

Resident

Fellow

Student

Research Coordinator

Faculty

Other

Primary Contact Email

Primary Contact Phone Number

Have you used these services in the past?

Working Project Title

Subject Matter and Disease Area

Brief Project Description

Please provide a goal or specific aims for the proposal

Most Immediate Deadline

<1 Month

1–3 Months

3–6 Months

6–9 Months

9–12 Months

Expected Project Completion

<1 Month

1–3 Months

3–6 Months

6–9 Months

9–12 Months

Is this project Institutional Review Board (IRB) approved? If no IRB application, please justify in the comments

Yes, need to talk to a Biostatistician (Use this link to schedule a meeting)

Other

IF NO IRB APPLICATION PLEASE JUSTIFY IN COMMENTS

Other

Is this a funded project?

Yes

If yes, provide name of funding agency

Other

If yes, please 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?

Yes

Does this project fall under Medical Education?

Yes

If so, which Medical Education Program?

Who is the supervising faculty or mentor?

Did the supervising faculty or mentor approve this submission?

Yes

What is this request for?

Grant Submission

Abstract Submission

Manuscript Submission

Services Requested: Study Design

Yes

Questionnaire Design

Yes

Power Analysis

Yes

Protocol Development

Yes

What data sources will be used for this project? Preparation of public use or repository datasets

Yes

Database Creation and Data Entry

Yes

EHR Data Download

Yes

Statistical Analyses: Basic statistical analysis of existing data

Yes

Statistical Testing

Yes

Predictive Modeling

Yes

Summarization and interpretation of statistical results

Yes

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

Yes

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

Biostatistics Core Consultation Request Form