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CAMC/WVU
INSTITUTIONAL REVIEW BOARD AND INSTITUTIONAL SCIENTIFIC REVIEW
BOARD
| Document/Form Title |
Revised Date |
Fill In (Microsoft Word) |
Print Only |
| New Study Application |
02/05/08 |
|
|
| Emergency Use Packet |
8/20/04 |
|
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| Continuing Review Packet |
8/20/04 |
|
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| Important Reminders and Changes about Consent Form Format MEMO- dated 10/03 |
8/20/04 |
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Template for Patient Enrollment in Research Projects other than Clinical Trials or Sponsored Research
*Note: If the patient is enrolled in a research study but not a clinical trial or other sponsored research with billing components, the 7412 template is to be used. The 7412 form can be used for patients enrolled as inpatients and a copy of it can be placed on the chart (which investigators like to do). It should not trigger the process outlined below like form 7411 does. |
11/01/06 |
|
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| Drug Data Form |
07/27/07 |
|
|
| Form Preparation |
07/27/07 |
|
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| Labratory Data and Pathology Form |
07/27/07 |
|
|
| New Technologies Form |
07/27/07 |
|
|
| Nursing Participation Form |
07/27/07 |
|
|
Revision Modification Amendment Form |
07/27/07 |
|
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| Submission of Information Form |
07/27/07 |
|
|
| HIPAA forms |
HIPAA De-Identification Form
|
08/10/07 |
|
|
HIPAA Authorization (2nd person)
|
08/10/07 |
|
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| HIPAA Waiver of Authorization |
08/10/07 |
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These forms are in pdf format, so they cannot be filled in. Please print them and fill them out as you would a packet from the IRB office. All forms/packets from the IRB office are now available here.
NOTE: W e will be updating some of these documents. However, these are the most up to date. |
All other forms located below
Mandatory
Training
Once you complete the online tutorial,
print the certificate and submit to Research and Grants Administration.
Your
protocol will not be reviewed otherwise.
CITI Log On Instructions
RESEARCH
DEADLINES AND MEETING DATES
download
meeting dates and deadlines in pdf document
Note: Full Board and
Expedited applications are due the first working day of the month. Exempt
studies may be submitted any time during the month. Exempt studies
will be administratively reviewed and approved within a two-week
period.
Investigator Initiated Research Studies:
If
your study is investigator-initiated, and full-board or expedited,
your application is required to receive institutional scientific
review by the Institutional Scientific Review Board (ISRB) prior
to review by the IRB. If your study is a quality improvement
project, please call our office at 388-9970 before submitting
your application.
Instructions
for number of copies of applications to submit to Research Review
Office:
Please
submit your original and 2 or 17 copies (depending on whether
or your study is expedited or full board) of your original application
to the Research Review Office in WVU Building, Room 3283, according
to the deadlines above for IRB review.
If your study
will require ISRB review, please submit your original application
and 11 copies of your original application according to the deadlines
above. Following ISRB review, the investigator will be notified
of necessary revisions. Upon completion of your ISRB review, you
will need to submit your revised original and 2 or 17 copies (depending
on whether or your study is expedited or full board) to the Research
Review Office to begin IRB review.
Contact
Information:
IRB/ISRB
Links
The Belmont
Report
http://ohrp.osophs.dhhs.gov/humansubjects/guidance/belmont.htm
The Nuremberg
Code
http://ohrp.osophs.dhhs.gov/references/nurcode.htm
Declaration
of Helsinki
http://www.wma.net/e/policy/17-c_e.html
Federal Wide
Assurance Number for IRB
http://ohrp.cit.nih.gov/search/dasurdtl.asp?asuid=FWA00002709&asutyp=X
Provides
an excellent sample titled: "How to Write a Human Subjects
Application."
http://www.niaid.nih.gov/ncn/grants
GENERAL IRB/ISRB FORM INSTRUCTIONS
1)
On all forms you will be on the first field when you open the
form
2) Tab between fields
3) Click on the field to go back or to make corrections/changes
4) Click on a box to remove or add an "X" or tab through the boxes
5) Please be certain that the signature at the end of the form
appears with the last question on the form- A SIGNATURE SHOULD
NOT BE ON A SEPARATE PAGE BY ITSELF. If in the process of completing
a form, the signature is the only item on the last page, please
enter returns in the second to last question so that the signature
is on a page with the final question. A signature should not stand
alone on a page
6) If you see something highlighted in yellow, move your cursor
over it to receive instructions
7) If you have any technical problems with the forms (not the
content),
phone (304)-388-9978
IRB
Forms and Policies
Available
as fill in forms or in print - Click on Icon for Downloads  
Please
be advised that these forms and policies may sometimes be updated,
but the most current versions should be available on this site.
Please
contact 388-9971 or 388-9973 for forms not yet available on line
| Document/Form
Title |
Revised
Date |
Fill
In (Microsoft Word) |
Print
Only |
| AE
Form - Internal (SAE-01) |
2/22/04 |

|
|
| AE
Form - External (SAE-02) |
2/22/04 |
|
|
| AE
Instructions |
2/22/04 |
|
|
| AE
Policy |
2/22/04 |
|
|
| AE
Submission Guide |
2/22/04 |
|
|
| AE
Tracking Log- SAMPLE |
2/22/04 |
|
|
| AE
Tracking Log- Template |
2/22/04 |
|
|
| Continuing
Review Packet
(Form A & Form B) |
2/22/04 |
|
|
| Continuing
Review Policy |
2/22/04 |
|
|
| Drug Data Form |
07/27/07 |
|
|
| Emergency
Use Packet |
2/22/04 |
|
|
| Form Preparation |
07/27/07 |
|
|
| Labratory Data and Pathology Form |
07/27/07 |
|
|
| Modification/Amendment
form - Form B |
02/22/04 |
 |
|
| New Technologies Form |
07/27/07 |
|
|
| Nursing Participation Form |
07/27/07 |
|
|
| Revision
Modification Amendment Form |
07/27/07 |
|
|
| Revision
Log- SAMPLE |
2/22/04 |
|
|
| Revision
Log - Template |
2/22/04 |
|
|
| Sponsored Projects Approal App. |
04/30/04 |
|
|
| Submission of Information Form |
07/27/07 |
|
|
| Sponsored
Projects Approal App. |
04/30/04 |
|
|
| HIPAA forms |
HIPAA De-Identification Form
|
08/10/07 |
|
|
HIPAA Authorization (2nd person)
|
08/10/07 |
|
|
| HIPAA Waiver of Authorization |
08/10/07 |
|
|
|
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