Forms and Documents
Pre-Application:
UHS HIPAA Data Collection Preparatory to Research Form
UTGSM HIPAA Data Collection Preparatory to Research Form
Checklist for IRB Applications
***COMPLETION OF CITI BASIC AND REFRESHER COURSE REQUIRED AT TIME OF IRB SUBMISSION***
*Form 1 - Application for Review (.doc)
- Collaboration Form - Pathology (.doc)
- Collaboration Form - Pharmacy (.doc)
- Collaboration Form - Radiology (.doc)
Form 1a - Application for Review (Abbreviated) (.doc)
*Form 1b - Retrospective Data Collection (.doc)
*Attach the UHS HIPAA Data Collection Preparatory to Research Form
*Attach the UTGSM HIPAA Data Collection Preparatory to Research Form
Form 3 - Annual Renewal (.doc)
Form 4 - Report of unexpected Adverse Event, Serious Injury, or Death (.doc)
Form 5 - Request for Exemption (.doc)
Form 6 - Request for Advertisements, Solicitations, and/or
Recruitment Materials (.doc)
Form 7 - Report of Termination of IRB Project (.doc)
Form 9 - Nursing Research Application (.doc)
Form 10 - Protocol Review Form
Form 11 - Amendment to Protocol Review Form
Form 12 - Video/Photo Publication Release Form
(NOTE: For Retrospective Data Collection Studies Please Use IRB Form 1b and the Prepartory to Research Form)
IRB Documents
Glossary of Lay Terms (.pdf)
Consent Form Template (.doc)
Sample IRB Budget Excel Spreadsheet (.xls) NEW
Routine Costs in Clinical Trials (.pdf)
Outside Interest Disclosure Form - Faculty and Staff (.pdf)
Privacy Rule (.pdf)
