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Forms and Templates

The IRB internet website is currently under construction.

Click here for Library Documents (SOPs, Forms, Templates, etc.)

Investigators are strongly encouraged to maintain electronic copies of all information (forms and files) submitted to the IRB. These electronic files will be needed in the event revisions are required after review.

Investigators must retain a hard copy or electronic version of the approved submission as well as the IRB's notification letters as part of the regulatory documentation.

**The following "FORMS" are embedded in the Electronic Submission System (eIRB) as smart forms:

  • Initial Review Form (HRP-200)
  • Continuing Review Form (HRP-202)
  • Modification Form (HRP-203)

    Click here for Library Documents (SOPs, Forms, Templates, etc.)

Templates

HIPAA Authorization

Use this document to obtain authorization to use /disclose PHI from participants of the research.

Need some clarity on HIPAA Authorizations? Click here to see the presentation slides on "HIPAA and Research"

HIPAA Waiver

Use this form when requesting a waiver of HIPAA authorization.

Click the link below to access the Accounting for Disclosures forms, which must be completed when a HIPAA waiver is granted.

https://www.umassmed.edu/ccts/human-research/privacy-and-security/

Need some clarity on HIPAA Waivers? Click here to see the presentation slides on "HIPAA and Research"

Authorization to Contact 

Complete this form if you would like someone to contact you about the Research. Updated 12/21/2020