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Join PIER -

Join PIER

Full or Affiliate Membership Options

A copy of our brochure and membership form can be found below. For a quicker submission, fill out the digital form and submit it directly for review.

Download brochure

Download membership form

Membership Form

Organization *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Number of Hospitals in your Health System *

Number of Experienced Research Practices in your System *

Number of Investigators in your System *

Name of Person Completing Application *

Title *

Phone *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Please describe your current clinical research program *All applicants must submit a completed membership application. Completed applications will be reviewed by the PIER Membership Committee. Their recommendations and a summary of the application will then be forward to the PIER Board of Members for final decisions. Approved applicants will complete a Site Feasibility Survey, followed by an on-site visit.

Please list the top three areas of clinical research *