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IRB Administration Office[University Hospitals]Lakeside 140011100 Euclid AvenueCleveland, OH 44106MS: LKS 7061216-844-1529 Fax: 216-844-1547
(required as the first page of all submissions to the IRB) Activity Determination Form :: July 2009 Request for Exemption :: June 2008 New Protocol (N) :: June 2009 New Protocol Chart Review or Disc Tissue (N-C or /DT) :: May 2007 Continuing Review (CR) :: May 2007 Continuing Review Chart Review or Disc Tissue (CR-C or DT) :: August 2005 Emergency Use of Drug or Device (EMRG) :: May 2007 Protocol Addendum (A) :: August 2005 Information to File with Protocol (F) :: August 2005 Report Unanticipated Problem or Protocol Deviation (UD) :: July 2007 Report External Adverse Events (EAE) :: July 2007 Report Internal Adverse Events (IAE) :: July 2007 Closure of an IRB Approved Protocol (C) :: May 2007 (Note: replaces Protocol Termination (T) )
(completed to provide additional information as part of a submission to the IRB) Request for Expedited Review of New Protocol :: October 2002 Additional Required Information for a Study that Includes Prisoners :: August 2004 External AE Summary Log :: July 2005 Internal AE Summary Log :: July 2005 UH Administrative Form, CP-7: IDS Exception Request Form (Word version) :: May 2009
(contain required and suggested language to use in developing consent forms) Assent Language :: March 2008 Consent Language for International Studies :: April 2007 Consent Template :: August 2009 Consent Language and Tutorial :: October 2007
(lists to help users determine if IRB submissions are complete) New Protocol :: August 2009 Continuing Review :: August 2005 Addendum :: August 2005 Chart Review/Discarded Tissue Reminders