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forms, instructions, policies and guidelines

Downloading Forms

  • Forms are available in the Word format. Left click on a file title to display an item; right click and choose the option "Save Target as..." to download the file.
  • Point on the download dialog box tfo the appropriate directory on your computer where you store word processing files. Remember to work on a copy of the original.
  • When you complete a particular form, check your margins and page breaks before printing. For example, the first page of the IRB Application ends with the Investigator's signature and a date, and the HIPAA Authorization form prints exactly on 3 pages.
  • If you are having trouble downloading any of the forms or if a link does not work on a specific form and/or other document, please call (847.384.3534) or e-mail IRBMail@advocatehealth.com the AHC IRB office.

 

Forms/Instructions/Guidelines/
Other Materials

Last Updated

Description/Comments

Application forms

Application for HUD Review

March 2004

Request for approval of a Humanitarian Use Device protocol

Application for New Protocol Review

August 2012

Application for full, expedited and exempt protocol submissions

Consent forms

Consent Form Template and Guidelines

August 2012

Consent form template, guidelines and requirements

Consenting Tips

December 2006

AHC IRB consenting help sheet

HIPAA forms, instructions & guidelines

HIPAA Authorization

April 2003

Advocate HIPAA Authorization form for research

HIPAA Authorization, Arabic

HIPAA Authorization translation into Arabic

HIPAA Authorization, Polish

HIPAA Authorization translation into Polish

HIPAA Authorization, Russian

HIPAA Authorization translation into Russian

HIPAA Authorization, Spanish

HIPAA Authorization translation into Spanish

HIPAA Waiver

Advocate HIPAA Waiver request form for research

HIPAA Waiver Instructions

October 2006

Information Sheet HIPAA Waiver instructions

Other forms

Adverse Event Report

June 2005

All local and non-local adverse events on active protocols have to be submitted with this completed form

Amendment Report

November 2012

All amendments to active protocols, consents, and other protocol-related documents have to be submitted with this completed form

Continuing Review Report

December 2012

Continuing review should be submitted at least 6 weeks before the study approval expiration date

Financial Disclosure Form

December 2012

This is the attestation page required in Continuing Review Reports for each investigator

Study Closure Report

December 2012

Due upon study completion or 6 weeks before study approval expiration date, whichever is earlier

Deviation/Violation Report

June 2002

All deviation/violations on active protocols have to be submitted with the completed form

AHC IRB policies & guidelines

Advocate IRB Amendment guide

 March
2013

Advocate Health Care IRB Amendment Submission Guidelines

Advocate IRB E-file procedures

 December 2011

Advocate Health Care IRB E-file Submission Procedures

Advocate IRB Amd form example

June
2002

Advocate Health Care IRB Amendment Form Example

Advertising & Recruiting Research Subjects

October 2006

Information Sheeet on OHRP and FDA policy and guidelines on advertising and recruiting study subjects

Application & Protocol Status Terminology

October 2006

Information Sheet on the AHC IRB application and protocol status terminology

HIPAA & PHI Overview

October 2006

Information Sheet on federal HIPAA and PHI requirements

PI Change Requirements

February 2013

Advocate IRB Requirements for Change of Principal Investigator

Policies & Procedures

June 2001

AHC IRB Policies & Procedures (74 pages)

QA/QI & Research

October 2006

Information Sheet on determining whether a project is human subject research or a Quality Assurance (QA), or Quality Improvement (QI) activity

Term "Experiment(al)" in Human Subject Research

October 2006

Information Sheet on avoiding the use of the term "experiment(al)" in human subject research

Other documents

IRB News Letter

April 2012

IRB News Letter- April 2012

Advocate IRB 2013 Schedule

 September 2012

Advocate IRB 2013 Meeting Schedule and submission deadlines

Advocate IRB 2012 Schedule

 December
2011

Advocate IRB 2012 Meeting Schedule

Advocate IRB Brochure

October 2006

Summary information on the AHC IRB

NCI Central IRB Process

October 2003

NCI Central IRB initiative and process

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