stipends-global-info – trialtravel

Patient
If the sponsor has approved stipend payments for this study.
Site coordinators, please have the patient fill out the Patient Payment Declaration Form below and upload it to our portal with the first stipend request. (1 time only for each new patient).
Download the Patient Payment Declaration Form here
OR use online form below if you need to translate into a different language.
Online Declaration Form
Payments will be made via a reloadable Visa card.
Colpitts Clinical will provide patients with an itemized report each January showing the prior year’s stipend payments, if needed for their tax preparation.

Patient

If the sponsor has approved stipend payments for this study.

Site coordinators, please have the patient fill out the Patient Payment Declaration Form below and upload it to our portal with the first stipend request. (1 time only for each new patient).

Download the Patient Payment Declaration Form here

OR use online form below if you need to translate into a different language.

Online Declaration Form

Payments will be made via a reloadable Visa card.

Colpitts Clinical will provide patients with an itemized report each January showing the prior year’s stipend payments, if needed for their tax preparation.

STIPEND PAYMENTS – GLOBAL