Forms & Templates
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► Forms & Templates
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| Title | Version Date |
|---|
NEW PROTOCOLS
| Protocol Submission Checklist | 01 Jun 2019 | |
| Protocol Template | 21 Sep 2020 | |
| Site-specific Protocol Addendum | Use when your site is a participating site in sponsor and/or multi-site research | 01 Jun 2019 |
| Consent Template (2018 Common Rule) |
12 Sept 2019 | |
| HIPAA Authorization | 01 Jun 2019 | |
| Request for Waiver of HIPAA Authorization | 30 Oct 2019 | |
| Investigator Agreement | 21 Jun 2023 | |
| Conflict of Interest Disclosure Form | 01 Jun 2019 |
CONTINUING REVIEW
| Continuation Report | 01 Jun 2019 | |
| Deviation Log | 01 Jun 2019 | |
| Adverse Event Log | 01 Jun 2019 |
MODIFICATIONS
| Amendment Request | 01 Jun 2019 |
REPORTABLE EVENTS
| Reportable Event Form | 03 Feb 2020 | |
| Research Monitor Report | 08 Oct 2015 |
STUDY CLOSURE
| Final Report | 01 Jun 2019 |
AGREEMENTS
Last Modified Date: 22-Jul-2023