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IRB Forms and Template

These tools and templates are intended as guidance only. Please contact the office of the IRB for further assistance at 616.486.2031 or email irbassist@spectrumhealth.org.


Form Name Version Date
   Pre-IRB Submission Tools & Templates         
IRB Contact Roster 09/09/2014
Protocol Template  06/01/2010
Informed Consent Template 01/08/2015
Assent for Children Template  10/05/2011
Required Elements of Informed Consent and HIPAA  03/22/2010
   Human Research Guidance & Forms         
04/22/2013
Letter to the Research Community 01/07/2015
   Short Forms/Translation Info         
Short Form - English (for reference only) SH FORM# x10866 09/11
Short Form - Spanish SH FORM# x10919  02/11
Short Form - Bosnian SH FORM#11233  03/11
Short Form - Vietnamese SH FORM#12817  05/11
Translation Request Form  10/03/2007
   General IRB Information          
Protocol Deviation Tracking Log - To be completed for minor protocol deviations at the time of Continuing Review. 
 01/21/2014

IRB FeesApplies to all studies where funding is available to support the IRB activities and includes but is not limited to submissions, continuing review, and amendments/substantial modifications. 

11/05/2008

Letter of Compliance 01/20/2012
   Miscellaneous         
Template-Budget   

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