Forms and Templates

Biomedical Consent, HIPAA Authorization, + More


Consent Templates

    1. Industry Sponsor, Cooperative Group, or External IRB
      Used for: consents provided by an industry sponsor or cooperative group.
      Can be used when relying on an IRB external to USC (except National Cancer Institute Central IRB). Contains headings for the consent language provided by the sponsor.
      Does not include examples.
    2. HSIRB Informed Consent Template
      Used when there is no consent form from an industry sponsor or cooperative group.
      Includes the essential elements of consent, instructions for use, the California Subjects Bill of Rights, conflict of interest requirements, considerations for long term specimen use and other institutional requirements.
    3. Information Sheet for Exempt Non-Medical Research
    4. Child Assent Template
    5. Addenda to Consent: Significant New Information/Findings Template
      When to Inform Participants about Significant New Information and Findings

Drafting a Consent Form


Short Form Consent Templates

Amharic Arabic
Armenian Cambodian
Chinese English
Farsi French
Hebrew Hindi
Indonesian Japanese
Korean Romanian
Russian Spanish
Tagalog Thai
Vietnamese _

HIPAA Research Authorization

HIPAA for education/case studies

See also


IRB Application Forms

Protocol Template for an Investigator Initiated Study
NIH Budget Form
Experimental Subject’s Bill of Rights
IRB Authorization Agreement-Long Form
Research Consultant Non Engagement Agreement
Individual Investigator Agreement
Required Documents for Research with Other Sites
Research Advisory Panel of California
California requires proposed research projects involving certain opioid, stimulant, and hallucinogenic drugs classified as Schedule I and Schedule II controlled substances to be pre-reviewed and authorized by the Research Advisory Panel of California in the Attorney General’s Office.

Example/Model Study Applications for Health Sciences IRB

Exempt
Expedited
Full Board

Ancillary Committees

Clinical Trials Unit Forms
USC Institutional Biosafety Committee Forms
Radiation Safety Committee Application Forms

LAC+USC Healthcare Network Forms

Lab Utilization Worksheet

Investigator Initiated Studies(Drug or Device)

Sponsor Investigator Agreement