Need help with your IRB submission forms?  For questions about submitting medical studies, call the IRB at 439-6055.  For  questions about submitting non-medical studies, call the IRB at 439-6002.  We are happy to assist you.

Please ensure that all study staff have current IRB training PRIOR to submitting a proposal for initial or continuing review.  Additionally, when submitting a modification to add study staff, ensure that the newly proposed staff have completed their IRB training PRIOR to submitting the modification.   Click here for instructions for CITI.
 

IRB Forms

• Initial Submission

  Main Forms
  

  • IRB Form 103
    
  • Narrative
  •    Instructions for Completing Narrative
  • Informed Consent Document (ICD) Template for Full or Expedited Review
  • Conflict of Interest
  • Students Only: Assurance Statement

  HIPAA

  • HIPAA Authorization Template
    
  • HIPAA De-Identification Certification Form
    
  • HIPAA Waiver of Authorization

  Supplemental Forms for Studies Involving Vulnerable Populations

  • For studies involving minors, click here
  • For studies involving prisoners, click here
  • For studies involving pregnant women/fetuses, click here
  • For studies involving cognitively impaired or persons with impaired decision-making capacity, click here
  • For studies involving neonates, click here
  • For studies involving deception, click here

  Supplemental Forms for Studies Involving Investigational Drugs or Devices

  • For studies involving investigational drugs, click here
  • For studies involving investigational devices, click here
    
  
  
• Continuing Review/Study Closure
  
  • IRB Form 107
  • If instructed by IRB to complete Appendix A, click here
  • For additional page for Study Personnel, click here
    
  
  
• Modification
  
  • Request for Modification Approval Form
    
  
  
• Unanticipated Problem Involving Risks to Participants or Others (UPIRTSO)
  
  • IRB Form 109
  • Sample Tracking Log for Non-Reportable Events
  • For sample log to report protocol deviations, click here