Forms

Note: These documents can all be viewed using Microsoft Word.

Click here for information about the categories of review

Full Committee Forms

• Full Committee Application Checklist
• Full Committee Human Subjects Review Form for new projects
• Departmental Scientific Review Form
• Full Committee CPHS Study Plan
• CPHS Study Plan Attachments
• Full Committee Consent Template
• Assent Form Template
• Renewal / Termination Form- Full Committee Studies - no HSRF needed

Expedited Study Forms

• Expedited Application Checklist
• Expedited Human Subjects Review Form for new projects
• Expedited CPHS Study Plan
• CPHS Study Plan Attachments
• Expedited Consent Template
• Assent Form Template
• Consent to Provide Blood for Research
• fMRI Consent
• Information Sheet Template
• Renewal / Termination Form- Expedited Studies

Exempt Study Form

• Exemption Review Form

Student Research Forms 

• Student Research Project Application Checklist
• Student Project Human Subjects Review Form
• Information Sheet Template example for Undergraduates   

Please note: For student researchers, the only unique forms are the cover page signed by the faculty advisor and the information sheet template (if the study uses an information sheet). All of the other required application forms are the same as the forms for all other researchers, as noted on the student application checklist.

VA Specific Forms

• VA Consent Template Instructions
• VA Consent Template

Data Analysis Only Form

• Research Use of Information or Specimens  Use this form for research or database development involving only:
  • clinical health information or
  • specimen use or
  • use of secondary research information or specimens

Other Forms

• Revision and Addition Request Form
• Serious Adverse Event (SAE) and Unanticipated Adverse Device Effect (UADE) Reporting Form for Clinical Trials
• Unanticipated Problem Involving Risks to Subjects or Others (UPR) Reporting Form
• Protocol Deviation Form
• Eligibility Exception Request
• Conflict of Interest Reporting Form for Human Subject Research
• Facilitated Review Form
• Preparatory to Research  This provision might be used, for example, to design a research study or to assess the feasibility of conducting a study.