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
• 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
• 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   

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 Disclosure 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.