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For Researchers Templates and Forms

Institutional Review Board for Human Subjects Research Division of Research

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For Researchers - Related Links

  • Getting Started
  • Manage IRB Applications
  • IRB Levels of Review
  • Training
  • Reporting to IRB
  • Collaborative Research
  • Templates and Forms
  • Create an Online Survey
  • REDCap
  • ResearchMatch
  • Non-Regulated Research

Contact Us

Email: irb@utrgv.edu

Quick Links

For IRB Members Training

Templates and Forms

Here you will find templates for our consent forms, recruitment materials, and much more.

Note 1: These templates are intended for use with your application and are to be submitted on Tick@lab as attachments, with a few exceptions:  Some forms below must be emailed to irb@utrgv.edu and are labeled as such.

Note 2: Not every form may apply to your study; contact irb@utrgv.edu if you have questions about which forms below you are required to submit. 

UTRGV Resident Research

  • UTRGV Resident Research Guide

Incentives for Participation in Research


  • Confidential/Anonymous Gift Card Purchase Waiver Request Form
  • FAQs for Gift Card Management Process
  • Incentive Agreement - Use of Personal Funds
  • Participant Compensation Disbursement Log
  • UTRGV Tax Notice to Study Subjects

Recruitment Templates

  • Email Recruitment Template
  • In-Person Recruitment Template
  • Professor Permission Script
  • Telephone Recruitment or Consent Script Combo Phone Interviews-Surveys

 Consent/Assent Templates

  • Biomed Consent Form with HIPAA Authorization
  • Biorepository Informed Consent Form with HIPAA Authorization
  • Simplified Consent Form Template
  • Child Assent Form Template
  • Child Assent Script Template
  • SBE Parent-Guardian Permission Form
  • Social Behavioral & Education Consent Form

Financial Conflict of Interest/Outside Activity 

  • OAD Certification Form for Multiple Personnel
  • Outside Activity Disclosure (OAD)Certification

Protocol Templates

  • Chart Review Protocol Template
  • Clinical Trials and Greater than Minimal Risk Studies Protocol Template

 

Site and Permission Letters

  • Internal Permission Letter Template
  • Outside Site Letter Template

Translation and Transcription

  • Confidentiality Agreement - Professional Transcribers Only
  • Translation Certification

Non-Regulated Research

Click to learn more about Non-Regulated Research.

  • Request for Determination-Non-Regulated Research Form

Reportable Events

These three forms must be emailed to IRB@utrgv.edu:

  • Reporting Unanticipated Problems and Adverse Events
  • Protocol Deviation - Possible Noncompliance Report Form
  • Unanticipated Problem-Adverse Event Reporting Form

Other

  •  Individual Investigator Agreement
  • UTRGV Data and Safety Monitoring Plan (DSMP) Guidelines
  • Debriefing Document Template
  • Research Study Information Sheet Template
  • Lay language for Biomedical Protocols

ResearchMatch

IRB Template

Best Practices for Securing Your Zoom Meetings

Securing Your Zoom Meetings



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