Forms and Templates

IMPORTANT NOTE: Please review the criteria for determining whether a project should be submitted to the D-HH IRB rather than CPHS here.

Link to the D-HH IRB website

Information about the categories of review

CPHS Submission Checklist

CPHS Protocol Guide

Basic Information Page

Protocols and Research Plans

• CPHS Protocol Plus
• Clinical Research Protocol
• Minimal Risk Clinical Research Plan
• Social, Behavioral, and Non-Clinical Research Plan
• Data, Specimens and Registries Research Plan
• Exempt Application
• Not Human Subjects Research Application

Drug Form

• Drug Form

Device Form

• Device Form

Consent Form Templates

• Full Committee Consent Form Template
• Expedited Consent Form Template
• Assent Form Template
• Consent to Provide Blood and/or Specimens for Research
• fMRI Consent
• Information Sheet Template
• Summary Sheet Template
• Waiver & Alterations Request Form

Supporting Documents

• Research Involving Children
• Community Based Research Form
• Employee and Student Form
• Genetic Research Form
• Research Involving Individuals Lacking Decision-Making Capacity
• International Research Form
• Pregnant Women and Fetuses Form
• Neonates Form
• Advertisement Guidance and Template

Follow-on Submissions

• Continuing Review Form & Closure Form (previously referred to as Renewal or Termination Form)
• UPIRSO, SAE, and UADE Reporting Form - submit via Report New Information (RNI)
• Reporting Flowchart
• Prospective Deviation or Eligibility Exception Request Form – submit via Modification
• Retrospective deviations should submitted via Report New Information (RNI) however an additional form is not required.

Ancillary Review Forms

• Department and Scientific Review Form
• Faculty Advisor Form