University Hospitals

IRB

AAHRPP logo

IRB Administration Office
[University Hospitals]
Lakeside 1400
11100 Euclid Avenue
Cleveland, OH 44106
MS: LKS 7061
216-844-1529
Fax: 216-844-1547

IRB Forms and Templates

Forms

Forms

(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

Templates

Templates for Consent Documents

(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

Reminder Lists

Reminder Lists

(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

Adverse Event Reporting

Adverse Event Reporting Forms and Information

Adverse Event Reporting Flowchart :: July 2007
Adverse Event Reporting Policy Summary :: ;July 2007
External Adverse Event Summary Log :: June 2005
Internal Adverse Event Summary Log :: July 2005