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Research Resources

Supporting Research, Education and Scholarly Endeavors

  1. Research Resources
  2. Research Services
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  4. IRB Forms
RegulatoryOversight
IRB

IRB Forms, Templates and Signature Pages

IRB Forms

Protocol Templates

  • Chart Review Protocol Template
  • General Protocol Template
  • Clinical Trial Protocol Template
  • Bio/Data Repository Template
  • Data Safety & Monitoring Plan (DSMP) Template

Consent Templates

  • Minimal Risk Consent Form - Revised January 2019
  • More Than Minimal Risk Consent Form - Revised January 2019
  • Bio/Data Repository Consent Form - Revised January 2019
  • Child Verbal Assent Form (ages 7-12)
  • Child Written Assent Form (ages 13-17)
  • Parental Permission Form for Child to Participate in Research - Revised January 2019
  • Humanitarian Use of Device Consent Form
  • TDCJ Consent Form
  • Informational Fast Fact Sheet for Verbal Consent

Emergency Use Documents

  • Emergency Use Guidance
  • Emergency Use Request/Notification Form
  • Emergency Use Consent Form Template

Tracking Forms

  • Adverse Event Tracking Form
  • Protocol Deviation/Violation Tracking Form (coming soon)

Signature Pages

  • Initial Submission Signature Page
  • Request for Change of Principle Investigator Signature Page
  • Translator Declaration Signature Page
  • General Signature Page

Miscellaneous Forms

  • New Sponsor Form
  • Notice of Research Participation Form
  • Patient Care Rate Agreement

Research Subject Participation

  • W-9 Form (Patient Stipend)
    • English
    • Spanish

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