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Templates & Forms

Consent Templates are available on this page - Consent Templates

PROTOCOL TEMPLATE AND STUDY TOOLS

Protocol Template for Observational Studies (including chart reviews): Protocol Template  - Observational Study

Protocol Template for Clinical Trials: Clinical trial is research study in which one or more human subjects are prospectively assigned to one or more interventions (which may include placebo or other control) to evaluate the effects of those interventions on health-related biomedical or behavioral outcomes.) Decision Tool: Does Your Human Subjects Study Meet the NIH Definition of a Clinical Trial? You do not have to use these templates - just make sure that the protocol contains all the necessary information (see page 39 - Section 6. Clinical Trial Protocols - ICH E6(R2) Good Clinical Practice Guidelines)

Protocol Deviation Log

Data Safety Monitoring PLAN (DSMP) Checklist

Data Safety Monitoring BOARD (DSMB) Charter Template

Adverse Event Log

Linking Log

ANCILLARY REVIEWS

Please download fillable PDF forms and open in Adobe to enable digital signature option

Departmental Research Review Form (fillable PDF)

List of MMS Department Reviewers 

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 DOCUMENTS

IRB Registration Statement

IRB Roster September 2025 - August 2026

UTHealth Statement on Epic Part 11 Compliance 

UTHealth Statement on DocuSign Part 11 Compliance

REVIEWER CHECKLISTS

Advertisement Checklist

 IRB Reviewer Checklist

CPHS HELPLINE: 713-500-7943

iRIS HELPLINE: 713-500-7960

UTHealth Houston Compliance Hotline: 800-846-0632 (English & Spanish)

IRB OFFICE HOURS: Thursdays, 1–4pm via Teams Room

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Committee for the Protection of Human Subjects

7000 Fannin St, Suite 1840
Houston, Texas 77030

Phone: 713-500-7943
Fax: 713-500-7951
Email: [email protected]

Committee for the Protection of Human Subjects

IRIS Support: 713-500-7960

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