Research Institute
Human Investigation Committee
iMedRIS INDIVIDUAL ACCOUNT ADDITION or DEPARTMENT REQUEST
Use this form to request the addition of accounts to iMedRIS for adding key personnel
to a study or to add a department of an individual needing access to Study Assistant.
Please note: iMedRIS accounts are set up using full name listed in HR. (i.e., legal name, not nick name).
Form Completed By:
Department/Affiliation:
INDIVIDUAL INFORMATION
First name (full legal name):
Beaumont Employee?
Last name:
Yes
No
Credentials:
Department/Affiliation:
Primary email address:
Email address used when completing CITI training:
ADD A DEPARTMENT TO AN EXISTING ACCOUNT
This individual has an iMedRIS account but is unable to see Study Assistant – please add the
following department to their iMedRIS profile:
TO ADD A NEW ACCOUNT
There are 2 levels of accounts within iMedRIS. Level 1 allows an individual to be added as key
personnel. Level 2 allows an individual to log into iMedRIS to submit an application, complete a form
(e.g., Progress Report, Amendment, Protocol Deviations, etc.), or respond to modifications. A Level 1
account holder, who later needs to login, can have their status changed to a Level 2 account.
Please indicate the access level currently required by this individual:
Level 1 account - Will be key personnel on studies, but will not need to log into iMedRIS to add
research regulatory data or submit HIC forms.
Level 2 account - Will need to login to iMedRIS. The individual is expected to: (check all that apply)
Note: if individual will not perform any of the tasks below, select Level 1 account
Enter new study applications
Respond to modifications required
Submit other forms (e.g., Amendments, Progress Reports, Protocol Deviations, Unanticipated Problems)
For individuals who do not already have a Beaumont user ID, Level 2 accounts may take up to 3 days to
assign. IT requires the following information:
Date of birth:
8/23/13
Zip Code:
Last 4 digits of SS# or a 4 digit PIN:
1