Safety Studies - Skin Survey

1.Please tell us how we can contact you:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.Your company's website:

5.Cumulative Irritation Test (CIT)

Skin Type: Normal Skin

Skin Type: Sensitive Skin

Standard Number of Subjects (25)

Custom designed CIT. Someone from RCTS will contact you to discuss.

Questions or Comments

6.Acute Irritation

Skin Type: Normal Skin

Skin Type: Sensitive Skin

Standard Number of Subjects (25 )

Custom designed Acute Irritation Test. Someone from RCTS will contact you to discuss.

Questions or Comments

7.Comedogenicity

Number of Subjects (Standard Number of Subjects = 15)

Questions or Comments

8.Safety-In-Use Study Options: Please choose all that apply

Dermatological (Standard Number of Subjects = 30)

Ophthalmological (Standard Number of Subjects = 30)

Gynecological (Standard Number of Subjects = 30)

Pediatric (Standard Number of Subjects = 30) (Note: IRB required for all pediatric studies)

Acne (Standard Number of Subjects = 30)

SKIN TYPE: Normal Skin

SKIN TYPE: Sensitive Skin

Custom designed Safety-in-Use. Someone from RCTS will contact you to discuss.

Questions or Comments

9.Institutional Review Board

Optional

Required

TBD

I am interested in both IRB and non-IRB studies.

10.Study Start Date, Month and Year

Month

Year

Month and Year

11.Study Start Date, Quarter and Year (If unsure about month)

Quarter

Year

Quarter and Year

12.Do you have any other comments or questions about our skin safety study services?

Safety Studies - Skin

Patch Tests (Sensitization, Irritation, Comedogenicity), Safety-In-Use, and Acne