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The Institutional Review Board

Forms and Documents

IRB Forms

(To ensure you are using the most current forms and documents, please refresh your brower before utilizing this page! Thank you.)

Form 1 - Application for Review (.doc)

Form 1a - Application for Review (Expedited) (.doc)

Form 1b - Retrospective Data Collection (.doc)

Form 2 - Revisions or Changes (.doc)

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 8 - Request for the Research Use and Disclosure of Protected Health Information (PHI) Without Subject Authorization (.doc)

(NOTE:
For Retrospective Data Collection Studies Please Use IRB Form 1b)


IRB Documents

Glossary of Lay Terms (.pdf)

Consent Form Template (.doc)

Routine Costs in Clinical Trials (.pdf)

Privacy Rule (.pdf)

Laboratory Certificate of Accreditations


 

Institutional Review Board

Graduate School of Medicine Building
1924 Alcoa Highway
Knoxville, TN 37920
865-305-9781
fax:865-305-9275

 

Links of Interest

Complete the IRB Service Satisfaction Survey

UT Memphis Institutional Review Board (IRB)

The Office for Human Research Protections

Department of Health and Human Services