Health Sciences Forms and Templates


Informed Consent

Informed Consent Resources

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

HIPAA Authorization
for research purposes
(form for disclosure of
protected health information)
English Word PDF
Spanish Word PDF
Korean Word PDF
Armenian Word PDF
Traditional Chinese Word PDF
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