Clinical Trial Site Billing Agreement Form

This clinical trial site billing agreement form provides a structured framework for establishing financial relationships between research sites, principal investigators, and study sponsors. It clearly delineates payment schedules for patient visits, procedures, laboratory tests, coordinator time, investigator fees, and institutional overhead costs. The form includes detailed budget breakdowns by study phase, milestone payment triggers, and reconciliation procedures to ensure accurate compensation for research activities performed.

The template addresses critical financial compliance elements including sponsor payment terms, invoicing frequency and requirements, budget modification procedures, and audit provisions. It captures information about institutional review board fees, startup costs, patient stipends, screen failure compensation, and closeout payments. The form also establishes protocols for handling protocol amendments that affect budget, procedures for reconciling actual versus projected enrollment, and terms for early study termination. This comprehensive approach protects both the research site and sponsor while ensuring transparent financial management throughout the study lifecycle.