Research Administrator Application Form

This is the Research Administrator membership application within the Geared Research PMA Network. This application is only for medical professionals and practitioners. The Global Commission for the Accreditation of Restorative Medicine will have the role of evaluating and approving all applications for acceptance of Research Administrators into Geared Research Network. Part of this process will be an online interview with a Commission representative. There are three potential outcomes to the evaluation process:

  1. Acceptance
  2. 2-year Probation Status - Additional training and experience is required to move beyond the probationary period. Details will be provided by the Commission representative.
  3. Denied - The Commission representative will outline additional educational requirements before re-application is available. 

Your acceptance (full or probationary) will establish you as a Geared Research Network Research Administrator allowing you to conduct research within the Geared Research Network. You will be authorized to use specific Geared Research products including biologic allografts ministered only through approved procedures, advanced supplements and frequency healing processes as specified by the Commission. All research using approved products and services will be conducted under a Department of Health and Human Services/FDA approved Institutional Research Board (IRB) Certification. All staff members that will assist you in the research process will also need to become private members of the Geared Research PMA. 

An application fee of $75 will be charged as an application processing fee.  

Office Information

Office Address

Office Address:
Is your shipping address different from you office address?

Shipping Address

Shipping Address
Does your office have a cryogenic freezer that you use for biologic allograft storage?
Research Administrator Information
Home Address
One file only.
16 MB limit.
Allowed types: gif, jpg, jpeg, png.
Certifications/Degrees
Have you ever been or are you currently under investigation by the courts or a federal agency? (Y or N) (This will not automatically disqualify you for membership into the Geared Research Network)
Biologic Allograft (Stem Cell) Experience
Which of the following conditions do you wish to focus your research within the Geared Research Network?
 (DJD = Degenerative Joint Disease)
Routes of Administration
Which of these routes of administration are you qualified and proficient in using?
Practice Size
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