University of Southern California

University Park Forms and Templates

Informed Consent Templates

• Informed Consent for Non-Medical Research (No FMRI) – General
• Informed Consent for Non-Medical Research (FMRI included) – This template is for studies utilizing the Dornsife Cognitive Neuroscience Imaging Center
• Informed Consent Template for Studies Requesting a Waiver of Signed Consent

Information Sheet Templates

• Information Sheet for Exempt Research

Assent Form Templates

• Child Assent Form for Non-Medical Research
• Youth Assent (ages 14-17)/Parental Permission Template (No FMRI)
• Youth Assent (ages 14-17)/Parental Permission Template (FMRI included) – This template is for studies utilizing the Dornsife Cognitive Neuroscience Imaging Center

Addenda to Informed Consent

• Experimental Subject’s Bill of Rights (Word)

(Note: If your study involves a medical procedure, this document must be attached to the front of the Informed Consent document for subjects to sign. Additional non-English translations are available here.)

• Significant New Findings Template (NEW – July 2012)

Other IRB Forms and Templates

• Model IRB Applications
• Research Site Permission Template
• IRB Authorization Agreement
• Research Consultant Non-Engagement Agreement
• Unaffiliated Investigator Agreement

Childrens Hospital Los Angeles (CHLA) Forms

• Childrens Hospital Los Angeles Forms

Independent Translation Services for Informed Consent Forms

The University Park IRB (UPIRB) does not offer translation services for informed consent documents. However, provided below is a list of independent, fee based translation services that investigators can utilize -  but must bear all cost associated with the service.

• Omniverbal Translation Services
• The Language Bank
• Transperfect
• Accredited Language Services (ALS)

Additional Human Subjects Research Information and Guidelines

There are additional information and guidelines that are available to assist investigators in preparing their IRB applications and in conducting research with human subjects. Please refer to the following information:

• Significant New Findings Policy
• Policy Concerning Human Subjects Research at the Dana & David Dornsife Imaging Center
• Classroom and Student Research Procedures (PDF)
• Criteria for Advertisements (PDF)
• The 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.)