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| DOWNLOAD
CCBHS APPROVAL FORMS |
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See also: Forms
Checklist Guide
to Forms on Disk
These forms are used to apply for:
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IRB approval for human research
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Administrative approval to make a grant application
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Animal Committee approval for vertebrate animal research
All forms are available in Wordperfect (v. 6, 7, 8) and Microsoft Word
for Windows
Forms are grouped according to their function, as shown in the table
below. To find out which forms are necessary for which purpose, see
the Approval Forms Checklist.
You can save any of these forms on your computer by pressing SHIFT and
CLICK at the same time on the file extension (WPD or DOC) for the version
you want. The "Save" menu will appear, and you can then save the
file with any name and in any directory you specify.
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CLICK ON:
DOC
(Microsoft Word)
| FORMS |
FILE
NAME |
MICROSOFT
WORD |
| D-I
Administrative Approval Forms
D-I.a
Project Description
D-I.b
Institutional Commitment of Resources
D-I.c
Resource Approvals
D-I.d
Pathology Resources
D-I.e
Financial Summary
D-I.f
Administrative Agent Approval
D-I.g
Finance Office approval
D-I.h
Institutional approval
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D-I |
D-I |
| D-II
Additional Administrative Forms to be Used as Needed
D-II.a
Pharmacy Commitment Form
D-II.b
Laboratory Commitment Form
D-II.c
Research Safety Form
D-II.d
Financial Interest Statement
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D-II |
D-II |
| D-III
Application for Scientific Committee (IRB) Approval
D-III.a
Investigators' Acknowledgment
D-III.b
Abstract of Research Proposal
D-III.c
Description of Subjects
D-III.d
Request for Waiver of Consent or Waiver of documentation
D-III.e
Request for Expedited Review
D-III.f
Request for Exemption from Review
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D-III |
D-III
D-III-f
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| D-IV Scientific Committee
Report Forms
D-IV (PWS).
Pregnant Women, Neonates
D-IV.a.
Research Study Progress Report Form
D-IV.b.
Adverse Event Report Form
D-IV.c.
Amendment Cover sheet
D-IV WS DS.
Wards of state and detainees
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D-IV (PWS).
D-IV.a.
D-IV.b.
D-IV.c.
D-IV WS DS.
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D-IV (PWS)
D-IV.a.
D-IV.b.
D-IV.c.
D-IV WS DS |
| D-V
Sample Consent Forms
D-V
Instructions
D-V.a
Sample Consent Form for Competent Adults
D-V.b
Sample Consent Form for Minors
D-V.c
Sample Consent Form for Persons Lacking Decision Making Capacity
D-V.d.
Suggested Language
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D-V |
D-V |
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Copyright ©1998-2009 John Stroger Hospital. All rights reserved.
All information is not a substitute for medical advice or treatment for specific medical conditions.
If you have any health-care related questions or suspect you have a health problem, you should consult your health-care provider.
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