Statistical Consultation Request Form

Our free consultation service is available to medical researchers and doctorial students at the Charité and the Berlin Institute of Health (BIH).

Notes on the Form

Fill in all fields carefully and correctly, this will save you from back queries and unnecessary delays.
Please always enter an official e-mail address, usually @charite.de, for privacy reasons. If you are employed by an affiliated organisation (e.g. Herzzentrum Berlin), please use your corresponding address (e.g. @dhzb.de).
Charité Doctoral students can simply go to the Charité matriculation office with their doctoral registration and matriculate as a doctoral student. They will then be provided with a Charité email account.
Be realistic. As we try to consider your wishes, requirements too high may lead to delays, because the perfect consultant might be occupied otherwise

Ethics Application for Animal Experiments (LAGeSo)

Before you come in for an Ethics Application for Animal Experiments (LAGeSo), be sure to read these guidelines:

"Statistical review of animal trials-A guideline" and
the associated "UserGuide for Biometric Planning of Animal Trials".

Data Protection & Privacy

Data Sets brought along

In case you plan to bring data records to a consultation, please delete all patient-identifying information beforehand. We only accept psyeudonomized and anonymized records!

Privacy Notice

Please confirm at the end of the form that you have read our privacy notice

Please note

During the pandemic, no personal consultations are offered. However, consultations by telephone, Skype for Business, and MS Teams are still available.
After submitting the form, you will usually be contacted within 10 working days.
We usually offer consultation appointments within 2-3 weeks.
For consultation appointments very early in the morning or in the evening, you may have to expect longer waiting times.

Registration Form Statistical Consultation

Last Name *

First Name *

Salutation *

Academic Title

E-Mail-Address (preferably @charite.de) *

Please make sure your address is correct, otherwise we will not be able to contact you.

Phone *

Long name of Clinic/Institution
("Charité" or simple indication of Charité-Campus or Charité Center do not suffice
for theses: where work is carried out)*

Info on your Project

Title of your Project *

The above project has been consulted by you, before *

The Project is a Doctoral Thesis, Hausarbeit, Master Thesis *

First (Given) Name and Last (Familiy) Name of Project Manager or Dotoral Supervisor *

Third-party Funding *

Current Phase of the Project *

The project to be consulted is already a cooperation with the following institutes:

Please note that we at iBiKE do not arrange cooperation for your projects.

CSC (Charité Clinical Study Center, includes CTO and CTU)

BIH (Berlin Institute of Health)

MDC (Max-Dellbrück-Centrum)

Info on Consultation Request

Brief description of your project or the purpose of the consultation request *

If you mark the following field, please always state the name of the consultant as well

An appointment has already been made

Designated Consultant

Consultation Language

Other remarks (requests for specific times, deadlines, etc.)

I have taken note of the above privacy policy information *

yes

The completed form will be sent to us by e-mail, the content could be read by third parties.

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