Institutional Review Board Forms
Completed IRB forms and documents submitted for North Texas Regional Institutional Review Board review and approval must be accompanied with a signed memo from the Principal Investigator (PI) indicating their request. The memo should also include the protocol name and IRB number (if activity or request is post-approval). An IRB number will be generated for new protocols upon initial submission / review. Documents should be submitted in a timely manner for proper review and approval.
Your computer must have Microsoft Word and/or Adobe Acrobat to access and read the following forms, samples and templates. If you need to download Adobe Acrobat, please follow this link.
Important Note:
- Please submit all documents in IRBNet by selecting “Create New Project” in the left-hand navigation bar.
- Please note the following:
- THE PRINCIPAL INVESTIGATOR MUST HAVE FULL ACCESS TO THE IRBNET PROTOCOL PACKAGE IN ORDER FOR IT TO BE REVIEWED BY THE IRB.
- Please be sure to use a very descriptive file name for each document submitted as a pdf or word.doc file. Example: “MMSE scale” is much better than “Scale 1”. . . “Recruiting flyer” is better than “Ad 1”, and so forth.
- Refer to the “Read Me First” document located in IRBNet under “Forms and Templates” for more guidance.
- For Progress Reports/Continuing Reviews:
- Please submit all documents in IRBNet by entering the project you wish to update through “My Projects.” Then select “Create a New Package” in the left-hand navigation bar.
IRB Application Forms
IRB Reportable Events Forms
Involving Other IRBs
General Institutional Review Board Forms | Version | Adobe Acrobat PDF |
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IRB Authorization Agreement |
2018 | ![]() |
SMART IRB Agreement Template | 2018 | ![]() |
Additional IRB Research-Related Forms
HIPAA Forms
General Institutional Review Board Forms | Version | MS Word Doc | Adobe Acrobat PDF |
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HIPAA Research Waiver Application ***REVISED*** | 01/2018 | ![]() |
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HIPAA Authorization Template ***REVISED*** | 01/2018 | ![]() |
Consent Templates
Short Form Templates
Informed Consent for Use with Non-English Speaking Subjects
General Institutional Review Board Forms | Version | MS Word Doc | Adobe Acrobat PDF |
---|---|---|---|
Short Form- English version ***REVISED*** | 02/2018 | ![]() |
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Short Form- Spanish version ***REVISED*** | 02/2018 | ![]() |