Health Sciences Forms and Templates


Informed Consent

Information Sheet Templates

Short Form Consent Templates

(including Experimental Subject’s Bill of Rights)
To access only Short Form Consent templates, click here.

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HIPAA Research Authorization

Authorization form for disclosure of protected health information for research purposes
Requests form to access protected health information (held by USC) to prepare a research protocol or perform other activities preparatory to research
Authorization for use of PHI for educational purposes
Data Use Agreement for receipt of a limited data set
Request form for Decedents Protected Health Information

IRB Application Forms

Ancillary Committees

LAC+USC Healthcare Network Forms

Investigator Initiated (Drug or Device) Studies (IDE /IND)

Children’s Hospital Los Angeles (CHLA) Forms