Forms

Please Use These Submission Forms

We periodically make changes to our form(s) and our processes.   The most recent forms can be found in Self Service under the Academics Tab (sub-folder - Human Research).  Please download and use the forms and templates housed in the Self Service Site.

  • To be environmentally friendly and reduce paper consumption, we accept electronic submissions only. Send all materials as attachments to irb@ehc.edu.
  • Separate all individual parts (informed consent, appendices, flyers, recruitment materials, etc.) into individual, clearly labeled files (with PI last name,nature of form, date) Use PDF or Word — NO JPGs.  Example:  Smith.Informed Consent.Aug.2016

FORMS:

Initial Submission Form
All initial applications, exempt, expedited, and full board should be submitted using this form.

Waiver of HIPAA Authorization
Use this form to request a waiver of patient authorization to use protected health information (PHI) in research.

Continuation of Study Approval 
The approval for all expedited and full board studies have an expiration date.  To continue beyond the expiration date, submit this form at least 30 days prior to expiration. 

Modification to the Study
All modifications to the study should be submitted to the IRB for approval prior to implementation.  

Study Closure
Once you have completed both data collection and data analysis, please let the IRB know by closing your study. 

CONSENT TEMPLATES:

Surveys, Focus Groups, Interviews
This should be used for anonymous: surveys, focus groups, and interviews

Main Consent Form - Social Behavioral

Main Consent Form - BioMedical 

Written Assent

Assent Script 

 

If you need any help reading and/or with the completion of these forms, please contact us for assistance at irb@ehc.edu or give us a call at 276-944-6921.