Office of Regulatory Affairs 
6495 New Hampshire Ave, Suite 201, Hyattsvile, MD  20783 
 | Phone: 301-560-7336 |Toll - free:  1-800-793-7175 | Fax: 301-560-7336 

   

 

 
 
 
 
 
 
 
 
 

         

  FORMS:  Forms/Checklists
 

 

Forms:  Annual Continuation of Project

Forms are available in Microsoft Word Format.  To download a form, click on the link provided in the form title.
Application Forms/Templates:
(1) Cover Memo:
  Form Names Current Version Date Type of Review
 
  Cover Memo:  IRB Form #1 11/10/04

Full Board / Expedited

 
 

Completion Guidelines/ Instruction Sheet Name

Version Date

 
  Completion Guidelines:  IRB Form #1

11/10/04

(2) Protocol Review:
  Form Names Current Version Date Type of Review
 
  Annual Continuation:  IRB Form #6 11/08/04 Full or Expedited
 
  Completion Guidelines/ Instructions Sheet Name Version Date
 

Completion Guidelines:  IRB Form #6

11/08/04
(3)  Updated Informed Consent, if applicable:
 

Form Name

Current Version Date

     
  MRI Informed Consent Template 05/10/04
  MRI-GU Joint Informed Consent Template None
  MRI Genetic Consent Template Coming Soon
  MRI Assent Template Coming Soon
  Completion Guidelines/ Instructions Sheet Name Version Date
 

Customization Guidelines:  MRI IC Template

06/25/04
 

Lay Terms for Use in Informed Consent

N/A
Forms Instruction Sheets/ Checklists:
(1) Protocol Submission:
  Instruction Sheet Names  Version Date
 
  Continuation Submission Instructions:  Expedited Review

01/05/05

Continuation Submission Instructions:  Full Board Review

01/05/05

(2) Informed Consent:
  Completion Guidelines/ Instructions Sheet Name Version Date
 

Customization Guidelines:  MRI IC Template

06/25/04
 

Lay Terms for Use in Informed Consent

N/A
 

Checklist - Elements of an IC Document

09/02/04
(3)  HIPAA:
 

Form Name

Current Version Date

     
  Guidelines for Use of HIPAA Forms 09/14/04
  HIPAA Decision Matrix 07/10/04 v.8
  HIPAA Waiver Checklist 04/04/03
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