Request REACHnet services by submitting the appropriate request form.

Submit your request here.



  • To partner with clinical sites through REACHnet for interventional trials, complete the Prospective Research Request Form.
  • To partner with REACHnet and additional PCORnet® Clinical Research Networks to conduct research, complete the PCORnet® Study Collaboration Form.
  • For an observational study, complete the Data Request Form.
  • For a prep-to-research query to estimate the number of patients that meet your study’s inclusion and exclusion criteria, submit a Query Request Form.
  • To consult with REACHnet about community member engagement strategies or services for your research project, complete the Request for Engagement Services.
  • To use an existing dataset from REACHnet for new research questions, complete the Data Reuse Request Form.

PROSPECTIVE RESEARCH REQUEST FORM

PCORnet® STUDY COLLABORATION FORM

DATA REQUEST FORM

QUERY REQUEST FORM

REQUEST FOR ENGAGEMENT SERVICES

DATA REUSE REQUEST FORM