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Contact Information

Email Address *

Full Name *

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Motivo della Richiesta *

— Seleziona un argomento— BioBank RequestChangeChange eCRF (ICE®)Change eCRF (IDE)Feature requestHelpdeskInternalMaintence ICE® *

Descrizione Descrivi la problematica , le informazioni sul cliente e sull'ambiente/i impattato/i

Customer Name

Nome dello Studio

Versione ICE® 2.4 2.4.1 2.5 2.6 2.6.1 2.6.2 2.6.3 2.7 3.x

Ambiente Define the Impacted Environment: Pilot, Trial or both Pilot Trial Both

Indirizzo Web Ambiente

CTMS Flag in case of CTMS issue

Oggetto *

Trascina i files qui oppure selezionali

Tags

Tags You can choose one more tags. AE Annotated eCRF Antivirus API App Attribute/s Audi trail Audit Audit Form Audit Patient Backup Blank eCRF Blur Bug Fix Center/s Certificate SSL Change Change Password Chart/s Checkbox Clinical Data Close Patient Closed Column/s Comparison Component/s Compute Condition/s Console Access CTCAE CTMS Custom Custom Randomization Customization Data Data Base Access Database Date Date/Time DB lock Deleted Deploy Device Dictionary/ies Disable User Account DM Document Download Dropdown Editor Email Enable English eQuery eQuery Approve eQuery Archive eQuery Comment eQuery Grid eQuery Propose Error Event email Export Export IDE File File Level Restore File Uploader Filter Form/s Group/s Hardware Issue Home Page ICE IDE Image/s Import Import IDE Input Italian Items Job Join KPI Label Language Left Nav License renew List Loading Login Logo Logout Maintenance Mapping Master MedDRA Medical Coding Missing Mobile Application Modify User Account Monitor Grid Monitor Status Monitor/CRA MS Office Multimedia Name Navigation Tree Network Issue Network Share New Patient New User Account Next/Previous Normal Range Note Notebook Configuration Notification Numeric Optimize OTF Outlook Configuration Patching Patient/s Patients Grid Pending Planner Popup Print Printer Project Project Purchasing Query Radio button Randomization Randomization list Record Rel Patients Form Reminder Render Form Reopen Patient Report Req Required Restore Restore DB Row/s Save Patient SDV Searchable Select Selected Selection Send Credentials Sign Patient Size Slowness Smartphone Configuration Software Issue Spam Spam Status bar Submit Survey Suystem Variables SVN Access Tab Table/Fixed Table/s Template Terminal Server Access Test Textarea Textbox Time Time-out Trial Type Typo Uncompilable Unknown Error URV User/s User/s activation Verify Video Upload View/s Visible Visio Visit/s VPN Warning Warning eQuery Wifi Guest Reminder Tracking

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