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Committee For the Protection of Human Subjects

Templates & Forms

Frequently-requested consent templates and institutional forms used in Human Subjects research are available online for your convenience.

CONSENT / ASSENT  Templates

Adolescent Assent - English

Parental Permission - English (HIPAA)

Informed Consent - English

Informed Consent - English (HIPAA)

DNA Consent – Mandatory Language

Biological Sample Retention – Mandatory Language

Adolescent Assent - Spanish

Informed Consent - Spanish

Informed Consent - Spanish (HIPAA)

 

Other Helpful TOOLS / FORMS

Departmental Research Review Form (fillable PDF)

Guidance on Setting up a Departmental Research Review Process

Quality Improvement Guidance

Conflict of Interest Certification

IRB Registration Statement

Guest Account Information

Pathology Tissue Policy

 

STUDY MANAGEMENT Tools

Protocol Template (simple)

Protocol Template (complex)

Study Delegation Log

Protocol Deviation Log

Data Safety Monitoring PLAN (DSMP) Checklist

Data Safety Monitoring BOARD (DSMB) Charter Template

Adverse Event Log

 

For IRB MEMBERS

 IRB Reviewer Checklist

Advertisement 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
Email cphs@uth.tmc.edu 

IRIS Support 713.500.7960

CLINICAL TRIALS RESOURCE CENTER 

OFFICE OF RESEARCH 

ENVIRONMENTAL HEALTH & SAFETY 

CORE LABORATORIES

SPONSORED PROJECTS

TECHNOLOGY MANAGEMENT


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