All required documents must be included for your request to be processed. DO NOT SUBMIT this form until it is complete and includes all requirements and documents. Incomplete forms will not be considered.

Also note, in accordance with CHLA policies, TSRI 011.0 Visiting Research Scholars & Scientists and MIS 099.0 Observation of Patient Care, this form is not for individuals whose training involves working with patients or patient information. If your training involves working with patients or patient information, contact for guidance on the appropriate channels for your clearance. Individuals who require this access are not eligible to apply for the status of Visiting Research Scholar.

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