Clinical Trial Injury Claim Form

Streamline Clinical Trial Injury Claims with Paperform

When participants experience adverse events during clinical research, processing insurance claims quickly and accurately is critical. This Clinical Trial Injury Claim Form template provides research organizations, pharmaceutical companies, and clinical research organizations (CROs) with a comprehensive digital solution for capturing all necessary information in one secure, professional submission.

Built for the Complexity of Clinical Research

Clinical trial injury claims require detailed documentation across multiple domains—participant information, study protocol details, adverse event classification, medical treatment records, and compensation calculations. This template guides claimants through each section systematically, using conditional logic to reveal relevant questions based on injury severity, treatment type, and study phase.

Automated Workflows That Keep Claims Moving

Connect this form to your claims management system using Stepper to automatically route submissions to medical reviewers, insurance coordinators, and compliance teams based on severity classification. Trigger notifications to principal investigators, create audit trails, and update your clinical trial management system—all without manual data entry. Visit stepper.io to explore workflow automation options.

Secure, Compliant Documentation

With SOC 2 Type II compliance and robust data protection, Paperform ensures sensitive participant health information is collected securely. Set up conditional notifications to alert different stakeholders based on claim type, integrate with your document management systems, and maintain complete records for regulatory audits. Custom success messages can provide claimants with clear next steps and expected timelines.

Professional Forms That Reduce Processing Time

Replace lengthy PDF forms and fragmented email exchanges with an on-brand digital experience. The doc-style editor lets you add your institution's logos, customize terminology for specific therapeutic areas, and embed relevant regulatory guidance. File upload fields capture supporting medical documentation, while calculation fields automatically determine compensation amounts based on your protocol-specific formulas.

Whether you're a clinical research coordinator managing participant safety, a pharmaceutical sponsor overseeing trial insurance, or a CRO handling claims administration, this template transforms a complex administrative process into a streamlined digital workflow that protects both participants and research integrity.