Forms | Advocate Health Care

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 to 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	January 2008	Application for full, expedited and exempt protocol submissions
Consent forms
Consent Form Template and Guidelines	December 2005	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	June 2002	All amendments to active protocols, consents, and other protocol-related documents have to be submitted with this completed form
Continuing Review Report	June 2002	Continuing review should be submitted at least 3 weeks before the study approval expiration date
Deviation/Violation Report	June 2002	All deviation/violations on active protocols have to be submitted with the completed form
AHC IRB policies & guidelines
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
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
AHC IRB Brochure	October 2006	Summary information on the AHC IRB
AHC IRB Meeting Schedule-2008	January 2008	2008 IRB meeting schedule and submisson deadlines
NCI Central IRB Process	October 2003	NCI Central IRB initiative and process

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