The Institutional Review Board

IRB Forms, Guides, and Documents

Non-Human Subjects Research Forms

Case Report Form
Not Human Subjects Form
Quality Improvement Form

Pre-Application Forms

UHS HIPAA Data Collection Preparatory to Research Form
UTGSM HIPAA Data Collection Preparatory to Research Form

Submitting an Application to the IRB

To submit applications to the IRB, please follow the link to iMedRIS.

Please note: Completion of the CITI Basic and Refresher Course is required at the time of IRB submission.

Collaboration Forms:

• Collaboration Form - Advanced Practice Providers
• Collaboration Form - Nursing
• Collaboration Form - Pathology
• Collaboration Form - Pharmacy
• Collaboration Form - Radiology and Radiology Research Process Form
• Collaboration Form - Simulation Center
• Collaboration Form - BioBank

IRB Guides

Consent Form Template

Protocol Template

Notice of Research Template

Survey Consent Guide

Resident Travel Guide

DSMB Guide

IRB Documents

Data Sharing - Data Use Agreement (De-identified)

Sample IRB Budget Excel Spreadsheet

Routine Costs in Clinical Trials

Outside Interest Disclosure Form - Faculty and Staff

Privacy Rule

Glossary of Lay Terms

Translator's Declaration Form

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