IRB FORMS

Due to technical difficulties not all IRB forms are available for download.  Please review the list below and email the IRB office the names of any forms needed that may not be available.  We will forward the requested forms to you via email. 

Amendment Form: Submit a request to make any change to a study.

Application Form:  Use this form for initial submission of exempt, expedited or convened reviews.

Continuing Review Form:  Request continuation of a study that was approved as Expedited (EX) or Full Board (FB).

Exempt Study Update Form:  Update the IRB on the status of an Exempt (XX) study.

Investigator Assurance:  Each investigator on 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.

IRB Fee Waiver 2018-  Request a waiver of fees for a study reviewed by the convened Board.

New Protocol Submission ChecklistTo help ensure all documents are submitted.

Notification of Closure Form:  Close a completed or terminated study.

Local Serious Adverse Event  Submit an SAE for any subject enrolled at a site approved by the EVMS.

Non-Local Serious Adverse Event:  Submit an SAE for subjects enrolled at other sites in a multi-center study.

Use of PHI Application:  Request access to PHI for protocol preparation, to identify whether a research study can be developed, or to identify possible subjects for a research study.

Waiver of Consent Request: Request that the IRB grant a waiver of consent so that subjects do not have be consented.  This is typically done for a chart review of existing data but has other uses as well.  Applies only to studies reviewed by the convened Board or classified as expedited by a sub-committee.

Waiver of Authorization for Use of PHI:  Request that the IRB waive the requirement for patient authorization to access PHI for research purposes.