Chile

Chile

Chile

Chile

Clinical Trial Application

Chile Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Spanish
• Local Legal Representative details (Contact Person Name, Address, Telephone
Number, E-Mail Address) and RUT number
• No refund for policy cancellation

Please allow 2 weeks for receipt of documents.

Panama

Panama

Clinical Trial Application

Please submit an email request to our certificate team requesting a certificate at: techcertrequest@newfront.com and CC your Newfront Team.

Include the following in your email:
o Include in your email the following: RE: Protocol #, Country
o Attach the Protocol and Informed Consent Form (ICF) documents, if not already provided to Newfront

Mandated Coverage

Unknown

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Completed Persona Natural and Persona Juridica applications to be completed by the Local Legal Representative/CRO
• No refund for policy cancellation

Please allow additional time for Panama documentation due to completion of applications