In order to help collect the information needed for the various types of reviews, the IRB has several forms that must be used for submissions. Please download the appropriate form(s) below and complete it for submission through IRB Manager. If you have any questions about what form to use or how to answer any of the questions, please contact our office at 757.446.8423 or by email at

Access to Protected Health Information to Develop a New Study

Application for the Use of Protected Health Information - request access to protected health information for protocol preparation, to identify whether a research study can be developed, or to identify possible subjects for a research study.

Initial Review

Application for Approval of Research Involving Human Subjects- use this form for initial submission of exempt, expedited, or convened IRB reviews. 

COI FORM FOR IRB SUBMISSIONS - complete and include this form with your submission if you have an external sponsor for your study.

IRB Fee Waiver - request a waiver of IRB fees for a sponsored study to be reviewed by a convened Board. ( Exempt and Expedited studies do not need this form since they are not reviewed by a convened Board.)

Waiver of Consent Request- request that the IRB grant a waiver of consent so that subjects do not have to be consented. This is typically done for a chart review of existing data but has other uses as well.

Waiver of Authorization for PHI requests that the IRB waive the requirement for patient authorization to access protected health information for research purposes. 

Request a Renewal of a Previously Approved Study

Continuing Review- request continuation of a study that was approved as Expedited or Full Board 

Report a Serious Adverse Event for an Ongoing Study

Serious Adverse Event (LOCAL) - submit a Serious Adverse Event for any subject enrolled at a site approved by Virginia Health Sciences at Old Dominion University. 

Serious Adverse Event (NON-LOCAL) - submit a Serious Adverse Event for subjects enrolled at other sites in a multi-center study.  

Request Any Change to a Previously Approved Study 

Amendment Form - submit a request to make any change to a study. 

Additional Documents

Investigator Assurance 2021 - each investigator in the study must have a current assurance on file. Assurances are valid for three years. Print, sign, scan, and upload forms to your electronic submissions. 

Exempt Study Update Form - 2022 - submit an Exempt Study Update form to update the IRB on the progress of the Exempt study, and/or whether to continue or close out the study. 

Close Out - close a completed or terminated study.