Forms, Documents and Resources

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Forms View

Document Name Link to Document Type Summary
Adverse Event Tracking Log Template Adverse Event Tracking Log.doc38 KB Templates, Tools

This log should be used to track adverse events throughout the course of the study and to document the PI’s determination if the event(s) require prompt reporting to the IRB as a possible Unanticipated Problem.

Amendment Form Protocol Amendment Form94.48 KB Forms

All modifications to human subjects research must receive prior IRB approval before subjects are involved in the revised protocol. Prior to implementation, modifications must be submitted on a Research Amendment Form and reviewed and approved by an IRB committee or the IRB Office.

Assent Document Template Assent Document Template29.17 KB Templates

An Assent document is used for children aged 7-17 or cognitively impaired adults who are unable to provide legal consent, but allows them to provide their understanding and agreement to research participation.

Behavioral Science Self-Assessment Worksheet Behavioral Science Self-Assessment Worksheet.docx100.71 KB Tools

This worksheet can be used by researchers to conduct a self-audit of any social or behavioral science project.  This worksheet may also be useful to assist with data monitoring or preparation for OPRS PAM or an external audit.

Biological Materials Form Biological Materials Form591.12 KB Forms

Researchers planning to collect, analyze, or bank human cells, tissues, fluids, DNA, or other human biological samples, whether taken prospectively or retrospectively with regard to IRB approval, must complete this form and include it with a New Protocol Application form.

Certificate of Translation Form Certificate of Translation Form94.02 KB Forms

For research conducted in languages other than English, the Illinois IRB must have all versions of the research material [e.g. consents, recruitment, instruments, etc.] in both English and non-English to be retained in the research file.

Consent and Authorization Document Template Consent and Authorization Document Template40.03 KB Templates

This template includes Authorization for the use of Protected Health Information.  This template should be used for research conducted with HIPAA-protected data. 

Consent Checklist Consent Checklist.docx25.3 KB Checklists

This checklist can be used to ensure all consent requirements are included in your consent document.  The Common Rule sets forth general requirements for documentation of informed consent. An informed consent form approved by the IRB and signed by the participant or the participant’s legally authorized representative should be used to document informed consent. A written copy should be given to the person signing the informed consent document.

Consent Cover Letter Template Consent Cover Letter Template23.8 KB Templates

This template should be used as a consent document for simple survey or questionnaire research.  This document should be used when a signature will not be collected. For example, for an online survey the participant reads this consent cover letter which informs them about the study and if they agree to participate, they proceed and complete the survey.  Consent is implied by the fact that the participant completed the survey, or participated in the focus group, or answered the interview questions.  To utilize this form, a Waiver of Documentation of Consent must be requested on the Informed Consent Process Form.

Consent Document Template Consent Document Template35.18 KB Templates

This is a standard consent document template to be used for adult participants in social behavioral or biomedical research.  This standard template is geared towards minimal risk research.  Please review the Supplemental Consent Language document for additional consent requirements for greater than minimal risk research and other study-specific requirements.

Databases and Repositories Form Databases and Repositories Form53.56 KB Forms

If the human subjects study involves creating or sending data and/or samples to a repository or database to be saved for future research uses, this form is required.

Debriefing Document Template Debriefing Document Template.docx22.57 KB Templates

A debriefing document is needed when a study involves deception, incomplete disclosure, or studies designed in such a way that providing complete background information will invalidate the study.  The debriefing document is provided to the participant following their participation to give them full information about the study.  An Alteration of Consent is required in order to use deception or incomplete disclosure in research.  Submit a Waiver of Informed Consent Form as it includes the Alteration of Consent request.

Delegation Log Template 1 Delegation Log Template 1.docx27.57 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Delegation Log Template 2 Delegation Log Template 2.doc54.5 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Delegation Log Template 3 Delegation Log Template 3.docx20.13 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Department of Defense Supplement Form Dept of Defense supplement form version D0123.docx76.02 KB Forms

This form should be completed and submitted as part of the IRB application for any project that has involvement in any capacity from the Department of Defense.

Deviation Log Template Deviation Log Template.docx76.2 KB Tools, Templates

This log should be used to track deviations from the protocol, IRB policies, or regulations.  The PI’s determination can also be documented as to whether the deviation meets the IRB’s prompt reporting criteria.

Device Form Device Form59.29 KB Forms

If the project involves the investigation of any devices, mobile applications or algorithms, the study may be subject to the Food and Drug Administration (FDA) regulations.

Drug and Supplements Form Drug and Supplements Form57.52 KB Forms

If this human subjects study involves the use of any drugs, biologics, supplements, or cosmetics, the study may be subject to the Food and Drug Administration (FDA) regulations.

Facilitated Review Application Form Facilitated Review Form.docx73.25 KB Forms

This form must be submitted for every project that uses an external IRB. This form is used for the UIUC HRPP to review study information that UIUC is required to review and approve.  This application is not reviewed by the IRB, although OPRS staff members conduct the HRPP review on behalf of the institution. 

Final Project Report Form Final Project Report Form90.69 KB Forms

The completion or termination of a study is a change in activity and must be reported to the IRB. 

At the time a study is complete or discontinued, the investigator must submit a Final Project Report.

Form for Reporting a Research Complaint or Concern Form for Reporting a Research Complaint or Concern58.37 KB Forms

This form can be used by participants, research staff, and others to report potential complaints or concerns about research.  Individuals can choose to remain anonymous.  You also have the option of being known to OPRS, but anonymous to the researcher.  

This form should not be used by a researcher informing OPRS about a complaint made by a research participant.  In that case, the researcher should follow standard reporting guidelines by using a Report Form application.

Genetic Research Form Genetic Research Form91.09 KB Forms

Research studies involving genetic testing should submit this form. Genetic testing means a test of a person's genes, gene products, or chromosomes. 

Health Sciences and Biomedical Self-Assessment Worksheet Health Sciences and Biomedical Self-Assessment Worksheet.doc372.5 KB Tools

This worksheet can be used by researchers to conduct a self-audit of any health science or biomedical research project.  This worksheet may also be useful to assist with data monitoring or preparation for OPRS PAM or an external audit.

HIPAA Waiver or Alteration Form HIPAA Waiver Form90.87 KB Forms

This form should be completed and submitted if an alteration or waiver of HIPAA authorization is being requested. Do not complete this form if HIPAA authorization will be obtained from the research subjects or if another institution collaborating in the research will provide HIPAA authorization.

Information Sheet Template Information Sheet Template36.31 KB Templates

This template can be used to obtain informed consent without a signature.  This template is similar to the Consent Cover Letter template, but includes more details for potentially more involved research than one simple survey.  Consent is implied by the fact that the participant completed the survey, or participated in the focus group, or answered the interview questions.  To utilize this form, a Waiver of Documentation of Consent must be requested on the Informed Consent Process Form.

Informed Consent Process Form Informed Consent Process Form55.81 KB Forms

Informed consent is the process by which potential participants are provided important information about the research study.

International Research Form International Research Form97.41 KB Forms

International research conducted by the University of Illinois at Urbana-Champaign investigators falls under the University purview and guidelines. Research projects must also be reviewed and approved by the local equivalent of an IRB.

New Study Application Form New Study Form98.7 KB Forms

All human subjects research projects must be reviewed and approved before human subjects are recruited or involved in research activities. All projects must be presented on a New Study Application Form.

Non-Human Subjects Research Review Request Non-Human Subjects Research Review Request93.35 KB Forms

There are many activities that do not require IRB review. However, oftentimes funders, journals, or academic committees still want evidence that an IRB has been consulted. This form can be used to request a determination that a project is Not Human Subjects Research. 

Forms View

Document Name Link to Document Type Summary
Amendment Form Protocol Amendment Form94.48 KB Forms

All modifications to human subjects research must receive prior IRB approval before subjects are involved in the revised protocol. Prior to implementation, modifications must be submitted on a Research Amendment Form and reviewed and approved by an IRB committee or the IRB Office.

Biological Materials Form Biological Materials Form591.12 KB Forms

Researchers planning to collect, analyze, or bank human cells, tissues, fluids, DNA, or other human biological samples, whether taken prospectively or retrospectively with regard to IRB approval, must complete this form and include it with a New Protocol Application form.

Certificate of Translation Form Certificate of Translation Form94.02 KB Forms

For research conducted in languages other than English, the Illinois IRB must have all versions of the research material [e.g. consents, recruitment, instruments, etc.] in both English and non-English to be retained in the research file.

Databases and Repositories Form Databases and Repositories Form53.56 KB Forms

If the human subjects study involves creating or sending data and/or samples to a repository or database to be saved for future research uses, this form is required.

Department of Defense Supplement Form Dept of Defense supplement form version D0123.docx76.02 KB Forms

This form should be completed and submitted as part of the IRB application for any project that has involvement in any capacity from the Department of Defense.

Device Form Device Form59.29 KB Forms

If the project involves the investigation of any devices, mobile applications or algorithms, the study may be subject to the Food and Drug Administration (FDA) regulations.

Drug and Supplements Form Drug and Supplements Form57.52 KB Forms

If this human subjects study involves the use of any drugs, biologics, supplements, or cosmetics, the study may be subject to the Food and Drug Administration (FDA) regulations.

Facilitated Review Application Form Facilitated Review Form.docx73.25 KB Forms

This form must be submitted for every project that uses an external IRB. This form is used for the UIUC HRPP to review study information that UIUC is required to review and approve.  This application is not reviewed by the IRB, although OPRS staff members conduct the HRPP review on behalf of the institution. 

Final Project Report Form Final Project Report Form90.69 KB Forms

The completion or termination of a study is a change in activity and must be reported to the IRB. 

At the time a study is complete or discontinued, the investigator must submit a Final Project Report.

Form for Reporting a Research Complaint or Concern Form for Reporting a Research Complaint or Concern58.37 KB Forms

This form can be used by participants, research staff, and others to report potential complaints or concerns about research.  Individuals can choose to remain anonymous.  You also have the option of being known to OPRS, but anonymous to the researcher.  

This form should not be used by a researcher informing OPRS about a complaint made by a research participant.  In that case, the researcher should follow standard reporting guidelines by using a Report Form application.

Genetic Research Form Genetic Research Form91.09 KB Forms

Research studies involving genetic testing should submit this form. Genetic testing means a test of a person's genes, gene products, or chromosomes. 

HIPAA Waiver or Alteration Form HIPAA Waiver Form90.87 KB Forms

This form should be completed and submitted if an alteration or waiver of HIPAA authorization is being requested. Do not complete this form if HIPAA authorization will be obtained from the research subjects or if another institution collaborating in the research will provide HIPAA authorization.

Informed Consent Process Form Informed Consent Process Form55.81 KB Forms

Informed consent is the process by which potential participants are provided important information about the research study.

International Research Form International Research Form97.41 KB Forms

International research conducted by the University of Illinois at Urbana-Champaign investigators falls under the University purview and guidelines. Research projects must also be reviewed and approved by the local equivalent of an IRB.

New Study Application Form New Study Form98.7 KB Forms

All human subjects research projects must be reviewed and approved before human subjects are recruited or involved in research activities. All projects must be presented on a New Study Application Form.

Non-Human Subjects Research Review Request Non-Human Subjects Research Review Request93.35 KB Forms

There are many activities that do not require IRB review. However, oftentimes funders, journals, or academic committees still want evidence that an IRB has been consulted. This form can be used to request a determination that a project is Not Human Subjects Research. 

Physician Approval of Radiation Use Physician Approval of Radiation Use Form89.29 KB Forms

State radiation safety regulations require that all radiation administered to humans must be “authorized by a licensed practitioner of the healing arts.” This includes research as well as medical care.

Principal Investigator Departure Form Principal Investigator Departure Form2.51 MB Forms

This form should be submitted as soon as an investigator becomes aware they are leaving the University of Illinois at Urbana-Champaign and are engaged in human subjects research on active IRB protocols.

Renewal Form Renewal Form250.61 KB Forms

It is the responsibility of the principal investigator (PI) to ensure continued approval of his or her human participant research study. This form should be completed and returned to irb@illinois.edu to ensure proper processing of the protocol renewal.

Report Form Report Form66.05 KB Forms

The Report Form (RF) application is used to submit problems, events, or information issues to the IRB for review. These may include Adverse Events, Protocol Deviations, Reports of Non-Compliance, and Unanticipated Problems.

Research Team Form Research Team Form102.81 KB Forms

List all investigators engaged in the research study, including those from other institutions. 

Safety Monitoring Plan Form Safety Monitoring Plan53.31 KB Forms

A safety monitoring plan must be designed for greater than minimal risk studies to minimize threats to the safety and welfare of the research participants. 

Vulnerable Populations Form Vulnerable Populations Form52.21 KB Forms

The University of Illinois at Urbana-Champaign IRB ensures that additional safeguards are included in the research design to protect the rights and welfare of research participants who have limited autonomy and are at risk for coercion and undue influence.

Waiver of Informed Consent Form Waiver of Informed Consent56.03 KB Forms

This form should be used when requesting a full Waiver of Informed Consent (no consent) or when requesting an Alteration of Informed Consent (some elements are missing, full information is not disclosed to participants, or deception is used). 

Forms View

Document Name Link to Document Type Summary
RGD: Advertisements RGD - Advertisements K1622.pdf262.53 KB Guidance

The IRB reviews recruitment methods, including advertisements, to ensure that they do not interfere with the equitable selection of participants. The IRB reviews proposed advertisements and solicitations for research participation to ensure that they do not violate the regulatory requirements of consent.

RGD: Assent RGD - Assent L2922.pdf250.71 KB Guidance

Assent means a participant's affirmative agreement to participate in research.  Assent is used for children or adults with diminished decision-making capacity when the participant is unable to provide legal consent, which is provided by the parent or legally authorized representative.

RGD: Basic Physiological Research RGD - Basic Physiological Research K2922.pdf237.67 KB Guidance

Research defined as “Basic Physiological Research” is considered to fall outside of the IDE regulations and is therefore not defined within FDA regulation. Although the IDE regulations do not apply to this type of research, IRB approval and informed consent should be obtained prior to initiation of the study. 

RGD: Certificates of Confidentiality RGD - Certificates of Confidentiality PDF259.43 KB Guidance

Certificates of Confidentiality (CoCs) are intended to protect the privacy of research subjects by prohibiting disclosure of identifiable, sensitive information to anyone not connected to the research except when the subject consents, or in a few other specific situations. 

RGD: Compensation of Research Subjects RGD - Compensation of Research Subjects B2823.pdf251.51 KB Guidance

The IRB reviews payment arrangements to research participants (compensation) to ensure an equitable selection of subjects by only approving payment methods that are not coercive and do not present undue influence.  

RGD: Concise Summary RGD - Concise Summary PDF222.8 KB Guidance

The revised “common rule” (effective January 21, 2019) requires that key information be included in
the beginning of the informed consent in a concise and focused presentation. 

RGD: Department of Defense Research RGD - Department of Defense Research D0723.pdf248.57 KB Guidance

This pdf provides guidance for researchers and IRBs about special requirements for conducting and reviewing human subjects research involving any component of the Department of Defense (DoD).

RGD: Elements of a Data Monitoring Plan RGD - Elements of a Data Monitoring Plan L2922.pdf313.14 KB Guidance

Data Monitoring: The regular evaluation of data and documentation collected during a study to ensure both adhere to the approved investigative plan and the validity of data collected (White 2007).

RGD: Elements of a Safety Monitoring Plan RGD - Elements of a Safety Monitoring Plan L2922.pdf265.63 KB Guidance

Safety Monitoring: The observations required to minimize threats to the safety and welfare of research subjects (White
2007).

RGD: Exempt Research RGD - Exempt Research version A0923.pdf332.6 KB Guidance

Exempt studies are minimal risk and fit within a set of established exemption categories. Exemption determinations are made by the IRB and may not be made by the individual investigator.

RGD: Exercise Testing in Research RGD - Exercise Testing in Research K2922.pdf222.12 KB Guidance

When exercise testing is used as part of a research study, investigators must provide the IRB with information regarding the safety plan. 

RGD: Expedited Review of Research RGD - Expedited Review of Research PDF189.14 KB Guidance

Research activities may be reviewed by the IRB through the expedited review procedure authorized by 45 CFR 46.110 and 21 CFR 56.110.

RGD: Gender Inclusive Language in Research RGD - Gender Inclusive Language in Research K2922.pdf238.74 KB Guidance

When researchers ask questions about sex, gender identity, and/or sexual orientation, there must be an understanding of what is being asked and what information is sought.

RGD: HIPAA Privacy Rule & Authorization RGD - HIPAA Privacy Rule Authorization PDF344.57 KB Guidance

To protect patient privacy, “covered entities” (all health plans, health care “clearinghouses,” and health care providers) must obtain specific, written authorization from a patient to use or disclose PHI. Patients must also be notified about their right to restrict the use and disclosure of such information.

RGD: IND Exemption Criteria RGD - IND Exemption Criteria K2922.pdf227.64 KB Guidance

This checklist will assist investigators in determining if an IND is needed from the FDA in order to conduct a clinical trial using a drug or biologic.  The IRB may determine that an IND is not necessary based on the criteria below. However, the IRB may also require that the investigator request and exemption from the FDA, which requires the submission of an IND application.  

RGD: Letters of Support RGD - Letters of Support A2423.pdf205.71 KB Guidance

This guidance pertains to when the IRB requests letter of support from an authorized individual at proposed research site(s) as part of the review process. A letter of support indicates to the IRB that individuals who may be impacted by, or who have an interest in, the research are generally supportive of the project.

RGD: Multimedia Recordings RGD - Multimedia Recordings K2922.pdf244.87 KB Guidance

Using multimedia tools to record the image and/or voice of an individual creates a record that requires careful handling and storage, particularly if the content of media or the purpose of the research may be considered sensitive.

RGD: New Study Application Annotated RGD - New Study Application Annotated440.11 KB Guidance

This document provides comments and suggestions to assist with completion of the New Study Application Form. Please be aware that all notes are inserted as "Comments" in the documents.

RGD: Payments To Research Personnel RGD - Payments To Research Personnel pdf174.54 KB Guidance

The IRB does not allow the use of finder’s fees or bonus payments made specifically to individuals, such as investigators and study staff, who are conducting the research. Exceptions must be reviewed by the IRB in order to determine that the use of such methods does not create coercion or undue influence.

RGD: Privacy and Confidentiality RGD - Privacy and Confidentiality D0823.pdf236.97 KB Guidance

This guidance provides information about IRB considerations for privacy and confidentiality in research.

RGD: Recruitment and Enrollment of Employees RGD - Recruitment Enrollment Employees version L1322.pdf246.15 KB Guidance

Employees may be exposed to a greater risk of invasion of privacy than other research participants who have no association with the sponsoring institution. 

RGD: Recruitment Methods RGD - Recruitment Methods D1223.pdf251.35 KB Guidance

The IRB reviews the process of screening, recruiting, and determining eligibility. The IRB reviews proposed recruitment procedures and advertisements to ensure that they do not violate the regulatory requirements of consent.

RGD: Research Design RGD - Research Design K2922.pdf263.66 KB Guidance

It is the obligation of the IRB to consider the study design and overall quality of a study in order to effectively evaluate the risk-benefit ratio. If the IRB cannot determine that the risk-benefit ratio of a study is acceptable, it cannot approve the protocol under applicable ethical codes and regulations.  

RGD: Research Involving Children RGD - Research Involving Children D0723.pdf270.11 KB Guidance

The IRB must consider the general criteria for IRB approval for all studies, including those that involve children.  Federal regulations require additional safeguards when approving research involving children.  

RGD: Research Involving Economically or Educationally Disadvantaged Individuals RGD - Research Involving Economically or Educationally Disadvantaged Individuals L2922.pdf258 KB Guidance

In some cases, the IRB may provide additional safeguards for research involving economically or educationally disadvantaged individuals.

RGD: Research Involving Neonates RGD - Neonates L2922.pdf253.95 KB Guidance

Neonate: Newborns from the time of delivery up until 28 days old. The IRB may have additional considerations for the research that involves children and neonates.

RGD: Research Involving Pregnant Women and Fetuses RGD - Research Involving Pregnant Women and Fetuses L2922.pdf268.83 KB Guidance

Federal regulations require additional safeguards when approving research involving pregnant women and fetuses. 

RGD: Research Involving Prisoners RGD - Research Involving Prisoners285 KB Guidance

Federal regulations place additional safeguards on research that involves prisoners as participants. The IRB reviews all research involving prisoners using the expertise of a prisoner representative (with no association to the prison involved in the research) and who is a member of the IRB.

RGD: Risk Assessment RGD - Risk Assessment233.67 KB Guidance

The IRB must conduct an assessment of the risks to participants in order to determine whether a study is approvable.

RGD: Secondary Analysis of Public Use Datasets RGD - Secondary Analysis of Public Use Datasets K2922.pdf243.86 KB Guidance

The University of Illinois Urbana-Champaign IRB has determined that data in the datasets in this guidance document has been stripped of identifiers and is publicly available. As a result, research using this data does not rise to the level of "human subjects research" under the federal Common Rule and University policies, and therefore, does not require IRB review.

Forms View

Document Name Link to Document Type Summary
Adverse Event Tracking Log Template Adverse Event Tracking Log.doc38 KB Templates, Tools

This log should be used to track adverse events throughout the course of the study and to document the PI’s determination if the event(s) require prompt reporting to the IRB as a possible Unanticipated Problem.

Assent Document Template Assent Document Template29.17 KB Templates

An Assent document is used for children aged 7-17 or cognitively impaired adults who are unable to provide legal consent, but allows them to provide their understanding and agreement to research participation.

Consent and Authorization Document Template Consent and Authorization Document Template40.03 KB Templates

This template includes Authorization for the use of Protected Health Information.  This template should be used for research conducted with HIPAA-protected data. 

Consent Cover Letter Template Consent Cover Letter Template23.8 KB Templates

This template should be used as a consent document for simple survey or questionnaire research.  This document should be used when a signature will not be collected. For example, for an online survey the participant reads this consent cover letter which informs them about the study and if they agree to participate, they proceed and complete the survey.  Consent is implied by the fact that the participant completed the survey, or participated in the focus group, or answered the interview questions.  To utilize this form, a Waiver of Documentation of Consent must be requested on the Informed Consent Process Form.

Consent Document Template Consent Document Template35.18 KB Templates

This is a standard consent document template to be used for adult participants in social behavioral or biomedical research.  This standard template is geared towards minimal risk research.  Please review the Supplemental Consent Language document for additional consent requirements for greater than minimal risk research and other study-specific requirements.

Debriefing Document Template Debriefing Document Template.docx22.57 KB Templates

A debriefing document is needed when a study involves deception, incomplete disclosure, or studies designed in such a way that providing complete background information will invalidate the study.  The debriefing document is provided to the participant following their participation to give them full information about the study.  An Alteration of Consent is required in order to use deception or incomplete disclosure in research.  Submit a Waiver of Informed Consent Form as it includes the Alteration of Consent request.

Delegation Log Template 1 Delegation Log Template 1.docx27.57 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Delegation Log Template 2 Delegation Log Template 2.doc54.5 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Delegation Log Template 3 Delegation Log Template 3.docx20.13 KB Tools, Templates

One option for use to document the research staff and what research activities the PI has delegated to others. Also meets the requirements for a Staff Signature Log. Other options are also available.

Deviation Log Template Deviation Log Template.docx76.2 KB Tools, Templates

This log should be used to track deviations from the protocol, IRB policies, or regulations.  The PI’s determination can also be documented as to whether the deviation meets the IRB’s prompt reporting criteria.

Information Sheet Template Information Sheet Template36.31 KB Templates

This template can be used to obtain informed consent without a signature.  This template is similar to the Consent Cover Letter template, but includes more details for potentially more involved research than one simple survey.  Consent is implied by the fact that the participant completed the survey, or participated in the focus group, or answered the interview questions.  To utilize this form, a Waiver of Documentation of Consent must be requested on the Informed Consent Process Form.

Note to File Template Note to File Template.docx88 KB Tools, Templates

This template can be used to document various events or issues that occur throughout the course of a research study.

Parental Permission Template Parental Permission Template36.1 KB Templates

The Parental Permission form is the consent document that is used when the research participant is a child and the consent is being provided by the parent/guardian.

Sample Blood Draw Log Sample Blood Draw Log.xlsx12.16 KB Tools, Templates

This log can be used to document blood draw attempts.  In some cases the IRB may require this log to be completed and submitted as part of the data or safety monitoring plan.

Screening Enrollment Withdrawal Log Template Screening Enrollment Withdrawal Log Template.docx83.57 KB Tools, Templates

This log should be used to document participant screening/eligibility, enrollment, and withdrawal from the research study.

Supplemental Consent Language Supplemental Consent Language37.52 KB Templates

This document contains additional consent template language that can be added to consent documents depending on specific situations.  Specifically, this document includes all consent requirements for Greater than Minimal Risk research.  This document also includes a Table of Contents for ease of use finding the language you need.

Telephone Contact Form Template Telephone Contact Form Template.docx75.08 KB Tools, Templates

This log can be used to document planned or unplanned contact with research participants.

Training Log Template Training Log Template.docx76.44 KB Tools, Templates

This log should be used to document study-specific trainings of the research team (e.g. training on study protocol).

Forms View

Document Name Link to Document Type Summary
Consent Checklist Consent Checklist.docx25.3 KB Checklists

This checklist can be used to ensure all consent requirements are included in your consent document.  The Common Rule sets forth general requirements for documentation of informed consent. An informed consent form approved by the IRB and signed by the participant or the participant’s legally authorized representative should be used to document informed consent. A written copy should be given to the person signing the informed consent document.

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