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IRB Forms

    Addendum for Mutli-site Studies Where Rex Hospital is the Lead Coordinating Center
    Application for Initial Protocol Review
    CIRB Notification Form
    Collection of SSN for Payments to Research Subjects
    Collection of SSN for Use as an Identifier in a Research Study
    Confidentiality Statement
    Continuing Review Form
    Contractor Compliance with the NC Identity Theft Protection Act
    Facilitated CIRB Continuing Review
    HIPAA Authorization for Research Use and Disclosure of Health Information for Research Purposes
    Informed Consent Checklist
    IRB Notification Form
    IRB Tip Sheet
    Laboratory/Pathology Department Clinical Research Support Fact Sheet
   

Protocol Violation Reporting Form

    Reliance Agreement Tip Sheet
    Report of Emergency Use of Test Article to the IRB
    Required Education in Human Subjects Protections Documentation of Alternate Training
    Research Protocol Deviation Log
    Sample Short Form Written Consent Document for Subjects Who do Not Speak English
    Unanticipated Serious Adverse Event Reporting Form
    Waiver of Consent & HIPAA Authorization