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Committee For the Protection of Human Subjects

Templates & Forms

CONSENT AND ASSENT TEMPLATES:

Informed Consent Template - English

Assent Template - English

Parental Permission Template - English

Informed Consent Template - Research Involving Interviews and Focus Groups

Informed Consent Template - Research Involving Records Review AND Questionnaires/Surveys

Informed Consent Template - Research Involving Blood Draws

Verbal Script Template

Letter of Information Template

CONSENT AND ASSENT TEMPLATE - SPANISHNEW

Consent Template - Spanish

Assent Template - Spanish

Parental Permission Template - Spanish

Informed Consent Template - Research Involving Interviews and Focus Group - Spanish

Informed Consent Template - Research Involving Records Review AND Questionnaires/Surveys - Spanish

Informed Consent Template - Research Involving Blood Draws - Spanish

Verbal Script Template - Spanish

Letter of Information Template - Spanish

SAMPLE CONSENT FORMS FOR MINIMAL RISK RESEARCH (adapted fromSACHRP Minimal Risk InformedConsent Models)

Sample consent - Research Involving Behavioral Testing

Sample consent - Research Involving In-vitro Diagnostic Device

Sample consent - Research Involving Blood Draw

Sample consent - Research Involving Interviews and Focus Groups - Verbal Script

Sample consent - Research Involving Interviews and Focus Groups - Written Consent

Sample consent - Research Involving Records Review and Questionnaires

PROTOCOL TEMPLATE AND STUDY TOOLS

Protocol Template (simple)

Protocol Template (complex)

Protocol Deviation Log

Data Safety Monitoring PLAN(DSMP) Checklist

Data Safety Monitoring BOARD(DSMB) Charter Template

Adverse Event Log

ANCILLARY REVIEWS

Please download fillable PDF forms and open in Adobe to enable digital signature option

Departmental Research Review Form (fillable PDF)

Guidance on Setting up a Departmental Research Review Process

Quality Improvement Guidance

Conflict of Interest Certification

病理检查

Diagnostic Imaging Review and Approval Form

Guest Account Information

REGULATORY DOCUMENTS

IRB Registration Statement

IRB Roster September 2021 - August 2022

REVIEWER CHECKLISTS

Advertisement Checklist

IRB Reviewer Checklist


CPHS HELPLINE 713-500-7943
iRIS HELPLINE 713-500-7960
UTHealth’s Compliance Hotline (1-888-472-9868)

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Committee for the Protection of Human Subjects
6410 Fannin, Suite 1100
Houston, Texas 77030

Phone 713-500-7943
Fax 713-500-7951
Emailcphs@uth.tmc.edu

IRIS Support713-500-7960

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