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Committee For the Protection of Human Subjects

Templates & Forms

CONSENT AND ASSENT TEMPLATES:

Informed Consent - English

Adolescent Assent - English

Sample Storage Consent

SAMPLE CONSENT FORMS FOR MINIMAL RISK RESEARCH (adapted from SACHRP Minimal Risk Informed Consent Models) 

Sample consent - Research Involving Behavioral Testing

Sample consent - Research Involving In-vitro Diagnostic Device

Sample consent - Research Involving Blood Draw

Sample consent - Research Involving Interviews and Focus Groups - Verbal Script

Sample consent - Research Involving Interviews and Focus Groups - Written Consent

Sample consent - Research Involving Records Review and Questionnaires 

PROTOCOL TEMPLATE AND STUDY TOOLS

Protocol Template (simple)

Protocol Template (complex)

Protocol Deviation Log

Data Safety Monitoring PLAN (DSMP) Checklist

Data Safety Monitoring BOARD (DSMB) Charter Template

Adverse Event Log

ANCILLARY REVIEWS

Departmental Research Review Form (fillable PDF)

Guidance on Setting up a Departmental Research Review Process

Quality Improvement Guidance

Conflict of Interest Certification

Pathology Review 

Diagnostic Imaging Review and Approval Form

Guest Account Information

REGULATORY LETTERS

IRB Registration Statement

REVIEWER CHECKLISTS

Advertisement Checklist

 IRB Reviewer 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

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