VA Form 10-9012 Investigational Drug Information Record

VA Form 10-9012 Investigational Drug Information Record

What Is VA Form 10-9012?

This is a legal form that was released by the U.S. Department of Veterans Affairs on November 1, 1989 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-9012?
A: VA Form 10-9012 is the Investigational Drug Information Record.

Q: What is the purpose of VA Form 10-9012?
A: The purpose of VA Form 10-9012 is to record information about investigational drugs.

Q: Who uses VA Form 10-9012?
A: This form is used by the Department of Veterans Affairs (VA) healthcare providers and researchers.

Q: What information is recorded on VA Form 10-9012?
A: The form records information about the investigational drug, such as the study name, drug name, and study protocol.

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Form Details:

  • Released on November 1, 1989;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of VA Form 10-9012 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-9012 Investigational Drug Information Record

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  • VA Form 10-9012 Investigational Drug Information Record, Page 1
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