Update 5/20/20: As many states and jurisdictions begin to reopen, iTech SRVs are encouraged to assess their readiness to re-open their clinical sites to conduct in-person iTech study visits (both enrollment and follow-up). However, given that much is still unknown regarding COVID-19’s impact moving forward, we caution against rapid re-opening of in-person activities. iTech has submitted IRB modifications to accommodate virtual visits, and meanwhile are developing remote procedures and training materials. We remain committed to transitioning procedures to virtual delivery, when appropriate, and trainings on these procedures are currently being scheduled. This is truly an unprecedented situation and we appreciate your patience and flexibility as we make decisions for the health, well-being and safety of all iTech staff & participants.