Prisma Health Research Enrollment

Your Date of Birth and the last 5 digits of your Social Security Number are required by Prisma IS. Prisma IS will need these in order to assign any technology related request submitted by your Prisma host.

Attention Nursing Students:

This form is only the initial phase of registering your project. Upon submitting this form, Nursing Academics will be alerted to your project. When confirmed, the GHS clearance process will be initiated through GHS Student Services. You will still need to submit one of the following:

Undergraduate Nursing Student – Project or Research Request
Graduate Nursing Student – Project or Research Request

The links to these request forms are provided at the end of this form.

If you're uncertain of the Facility, Department and Unit, please use the Search feature. After searching and identifying the Facility, Department and Unit, please enter this information in the corresponding fields below.

Please understand due to the nature of clearance and *clearance requirements, GHS Student Services can only clear students on an annual basis. If the student plans to be here multiple years, we would need to re-initiate clearance approximately 1 year from now. *TB, Flu and HealthStream assignments must be renewed annually. In order to ensure compliance, Student Services must re-initiate clearance.