---
title: Medical Device Clinical Trial Data Access Request Form Template | Paperform
description: Professional form template for requesting access to medical device clinical trial data including adverse effects, protocol adherence, and endpoint measurements. Streamline data access workflows with automated approvals.
url: "https://paperform.co/templates/medical-device-clinical-trial-data-access-request-form"
type: static
generatedAt: "2026-03-28T00:44:28.169Z"
---

[← Back to free form templates](/templates/)    ![Medical Device Clinical Trial Data Access Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-device-clinical-trial-data-access-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/medical-device-clinical-trial-data-access-request-form) [Use this template for free](/create?ai-template=medical-device-clinical-trial-data-access-request-form)    [Information Technology](/templates/category/it/) [Healthcare](/templates/industry/healthcare/)[Research](/templates/industry/research/)[Biotechnology](/templates/industry/biotechnology/)[Medical Devices](/templates/industry/medical-devices/) [Physician](/templates/role/physician/)[IT Professional](/templates/role/it-professional/)[Researcher](/templates/role/researcher/)[Data Analyst](/templates/role/data-analyst/)[Compliance Officer](/templates/role/compliance-officer/)     About this free form template
### Streamline Medical Device Clinical Trial Data Access with Paperform

Managing access to sensitive clinical trial data requires precision, security, and compliance with strict regulatory standards. Our **Medical Device Clinical Trial Data Access Request Form** is designed specifically for researchers, clinical teams, regulatory affairs professionals, and data scientists who need structured, compliant access to study participant data from medical device trials.

#### Why Clinical Trial Data Access Needs a Better Solution

Medical device clinical trials generate massive volumes of sensitive data—from adverse device effects and protocol deviations to primary endpoint measurements and patient demographics. Traditional methods of requesting data access—email chains, PDF forms, and manual approval workflows—create bottlenecks, compliance risks, and frustration for research teams working under tight regulatory timelines.

This Paperform template replaces those outdated processes with a professional, secure intake system that captures all the critical details needed to grant appropriate data access while maintaining audit trails and GDPR compliance.

#### Who This Template Is Built For

This template serves multiple stakeholders within the clinical research ecosystem:

 - **Clinical research organizations (CROs)** managing multi-site medical device trials
 - **Medical device manufacturers** conducting post-market surveillance studies
 - **Academic researchers** analyzing trial data for publications and meta-analyses
 - **Regulatory affairs teams** preparing submissions to FDA, EMA, and other authorities
 - **Biostatisticians and data scientists** requiring dataset access for analysis
 - **Quality assurance teams** conducting audits and compliance reviews
 - **Hospital research departments** coordinating investigator-initiated trials

Whether you're working with cardiovascular devices, orthopedic implants, diagnostic equipment, or digital health technologies, this template adapts to your specific trial structure and data governance requirements.

#### What Makes This Template Work

The form captures everything needed to evaluate and approve data access requests:

**Requester Information & Credentials:** Comprehensive details about who is requesting access, their institutional affiliation, role in the study, and relevant qualifications—critical for maintaining proper data stewardship.

**Study & Data Specification:** Clear identification of which clinical trial, study phase, device type, and specific data domains are being requested (adverse events, protocol adherence metrics, endpoint measurements, device performance data).

**Access Justification:** Detailed rationale for the data request, intended use, analysis plan, and how the access aligns with the original study protocol and informed consent parameters.

**Data Security & Compliance:** Attestations regarding data handling procedures, security measures, HIPAA compliance (for US-based trials), GDPR compliance (for EU trials), and institutional review board (IRB) or ethics committee approvals.

**Time-Bound Access:** Specific access duration requirements and data retention policies to ensure access permissions don't remain active longer than necessary.

The form uses conditional logic to show relevant fields based on the type of data being requested—for example, if adverse device effects data is selected, additional fields appear regarding Medical Device Reporting (MDR) requirements and reportable events.

#### Automate Your Clinical Data Access Workflow with Stepper

Once a data access request is submitted through Paperform, you can use [Stepper](https://stepper.io) to build an automated approval and provisioning workflow:

 1. **Route for approval** based on data sensitivity level—route high-risk data requests to the study's principal investigator and data safety monitoring board, while routine requests go to the data manager
 1. **Trigger compliance checks** by integrating with your IRB database or ethics committee records to verify active approvals
 1. **Provision database access** automatically by creating time-limited user accounts in your clinical data management system (CDMS) like Medidata Rave, REDCap, or OpenClinica
 1. **Generate audit logs** that document who requested what data, when, for what purpose, and who approved it—essential for regulatory inspections
 1. **Send notifications** to security teams, the requester, and study leadership with access credentials and data handling guidelines
 1. **Schedule access expiration** reminders and automatically revoke permissions when the approved access period ends

This level of automation transforms what used to take days or weeks of email coordination into a streamlined, compliant process that maintains complete visibility and control.

#### Security and Compliance for Sensitive Health Data

Clinical trial data is among the most sensitive information in healthcare, subject to HIPAA, GDPR, FDA 21 CFR Part 11, and ISO 14155 standards. While Paperform is not HIPAA compliant and should not be used to collect or store protected health information (PHI) directly, this form is designed to capture **metadata about access requests**—who needs access, to which de-identified or coded datasets, and for what approved research purpose.

Paperform is **SOC 2 Type II compliant**, offering enterprise-grade security features including:

 - **Role-based permissions** to control who can view and manage data access requests
 - **Data residency options** to keep request data in specific geographic regions
 - **SSL encryption** for all data in transit
 - **SSO integration** for secure authentication through your institution's identity provider
 - **Comprehensive audit trails** showing all form activity

For the actual clinical trial data itself, your CDMS or data warehouse remains the system of record—this Paperform template manages the *request and approval workflow*, not the underlying trial data.

#### Designed for Research Teams, Not IT Departments

One of the biggest advantages of using Paperform for clinical data access requests is that **research coordinators and clinical operations teams can own the entire process**—no need to wait for IT tickets, database administrators, or custom development.

Need to add a new data category because you've launched a trial with a novel device type? Just add it to the dropdown. Want to route cardiology device trial requests differently than orthopedic implant trials? Set up conditional logic in minutes. Need to update compliance attestation language based on new EU MDR requirements? Edit the text directly in the form.

This autonomy is especially valuable in the fast-moving clinical research environment where study protocols, regulatory requirements, and data governance policies evolve continuously.

#### Integration with Your Clinical Research Stack

Paperform connects seamlessly with the tools clinical research teams already use:

 - **Google Sheets or Airtable** for maintaining a centralized log of all data access requests
 - **Slack** for instant notifications to data stewardship committees
 - **REDCap, Medidata, or other CDMS platforms** via API integrations through Stepper or Zapier
 - **Microsoft 365 or Google Workspace** for generating approval documentation and data use agreements
 - **CRM systems** for tracking external researcher relationships and collaboration agreements

These integrations mean your data access request workflow sits naturally within your existing research infrastructure rather than creating yet another disconnected silo.

#### Start Managing Clinical Trial Data Access Today

Whether you're running a first-in-human trial of a breakthrough medical device or managing a large-scale post-market surveillance study, this template gives you a professional, compliant starting point for data access governance. The form is fully customizable—adjust the data categories to match your device type and study endpoints, modify approval workflows to match your institutional policies, and brand the form to reflect your organization's identity.

Trusted by research institutions and medical device companies worldwide, Paperform provides the flexibility and security needed for sensitive clinical research operations without the complexity of enterprise software or the limitations of generic form builders.

Get started today and bring structure, speed, and compliance to your clinical trial data access process.
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