Johns Hopkins University is postponing all external monitor onsite visits for clinical research protocols until at least April 20th. We will inform the research community if the date for this policy needs to be extended. All site initiation visits (SIVs) must take place remotely effective immediately and until at least April 20th. Onsite SIVs for COVID 19 trials and other life-saving trials may be allowed in exceptional circumstances where these may not be performed remotely. Requests to permit an on-site SIV must be submitted to the ICTR at ICTR@jhmi.edu. In the event that an on-site SIV is permitted, study teams are expected to follow all policies related to the COVID-19, including ensuring that visitors are screened prior to coming for an SIV.