| Certificate of Destruction |
Pharm/F44 |
3.0 |
27th July 2015 |
| Code Break Record Form |
Pharm/F53 |
4.0 |
31st July 2017 |
| Code Break Test Form |
Pharm/F50 |
4.0 |
31st July 2017 |
| Clinical Trials Monthly Stock Check Form |
Pharm/F63 |
3.0 |
2nd March 2015 |
| Distribution of Code Break Envelopes Form |
Pharm/F27 |
4.0 |
31st July 2017 |
| Production of Code break Envelopes Form |
Pharm/F25 |
4.0 |
31st July 2017 |
| Receipt of Code Break Envelopes Form |
Pharm/F26 |
4.0 |
31st July 2017 |
| Master Label Form |
Pharm/F33 |
4.0 |
31st July 2017 |
| Master Label Amendment Form |
Pharm/F34 |
3.0 |
31st July 2017 |
| Stores Receipt Form |
Pharm/F35 |
4.0 |
28th October 2015 |
| Temperature Monitoring Form (Fridge Temperature) |
Pharm/F36 |
4.0 |
19th October 2015 |
| Clinical Trials Label Templates |
Pharm/F40 |
2.0 |
31st July 2017 |
| Trial Drug Recall Summary Sheet |
Pharm/F41 |
3.0 |
23rd November 2015 |
| Quarantine Notice |
Pharm/F42 |
4.0 |
1st July 2015 |
| Quarantine Log |
Pharm/F43 |
4.0 |
1st July 2015 |
| IMP Recall Test Form |
Pharm/F49 |
3.0 |
23rd November 2015 |
| Pharmacy Clinical Trial File Contents |
Pharm/F52 |
4.0 |
29th May 2015 |
| Pharmacy Monitoring Form |
Pharm/F97 |
1.0 |
12th April 2015 |
| Temperature Monitoring Form (Ambient Temperature) |
Pharm/F54 |
4.0 |
19th October 2015 |
| Pharmacy Training Log |
Pharm/F61 |
3.0 |
19th January 2016 |
| Temperature Monitoring Form (Frozen Temperature) |
Pharm/F78 |
3.0 |
19th October 2015 |
| Temperature Excursion Record Form (Clinical Trials) |
Pharm/F79 |
2.0 |
19th October 2015 |
| Returning Clinical Trial Materials and Investigational Medicinal Products to the Trial Sponsor |
Pharm/F83 |
3.0 |
15th June 2015 |
| Assessing an area for Investigational Medicinal Product storage outside of Pharmacy |
Pharm/F89 |
2.0 |
26th July 2016 |
| Transfer of IMP from Pharmacy to a storage location outside of Pharmacy |
Pharm/F91 |
2.0 |
26th July 2016 |
| Transer of unused IMP from a storage location outside of Pharmacy to Pharmacy |
Pharm/F92 |
2.0 |
26th July 2016 |
| Transfer of patient returned/used IMP from a storage location outside of Pharmacy to Pharmacy |
Pharm/F93 |
3.0 |
26th July 2016 |
| Protocol Amendment Receipt Record Form |
Pharm/F94 |
2.0 |
19th January 2016 |
| Label Accountability Form |
Pharm/F104 |
2.0 |
31st July 21017 |
| Record of Labels Printed |
Pharm/F105 |
2.0 |
31st July 2017 |
| Pharmacy Clinical Trials Wardlist Check Form |
Pharm/F102 |
2.0 |
19th October 2015 |
| Pharmacy Clinical Trials - Dispensing Error Reporting Log |
Pharm/F29 |
1.0 |
20th August 2015 |
| Pharmacy Clinical Trials - Dispensing Error Reporting Codes |
Pharm/F30 |
1.0 |
20th August 2015 |
| Daily Clinical Trials Temperature Checks |
Pharm/F108 |
1.0 |
19th October 2015 |
| Record of Access to a Clinical Trial Protocol and/or Investigator Brochure Form |
Pharm/F111 |
1.0 |
19th October 2015 |
| Ambient Temperature Monitoring Form for Studies Where IMP Is Stored Outside of Pharmacy |
Pharm/F112 |
1.0 |
19th October 2015 |
| Pharmacy Amendment Checklist Form |
Pharm/F106 |
1.0 |
19th January 2016 |
| Deviation Assessment Form |
Pharm/F107 |
1.0 |
23rd December 2015 |
| Clinical Trials Prescription Audit Tracker |
Pharm/F103 |
1.0 |
1st March 2016 |
| Clinical Trials Task List Form |
Pharm/F90 |
2.0 |
28th June 2017 |
| Pharmacy Weekly Quality Assurance Form |
Pharm/F115 |
1.0 |
20th June 2016 |
| Pharmacy Daily Quality Assurance Form |
Pharm/F116 |
1.0 |
20th June 2016 |
| Pharmacy Clinical Trials Maintenance Form |
Pharm/F82 |
1.0 |
18th July 2016 |
| Expiry Date Re-labelling Worksheet |
Pharm/F117 |
1.0 |
1st September 2016 |
| Clinical Trial Patient Log |
Pharm/F38 |
1.0 |
22nd March 2017 |
| Pharmacy Personnel Log |
Pharm/F39 |
1.0 |
22nd March 2017 |
| Pharmacy Clinical Trial Set up Form |
Pharm/F14 |
1.0 |
31st July2017 |
York Foundation Trust R&D Unit, 
Telephone: 01904 726996
Fax: 01904 725700
Email: