Quick Access
|
Most Used Forms
|
Pre-Approval
|
Informed Consent
|
HIPAA
|
|
Electronic Informed Consent
|
Reliance
|
Approved Studies
|
Study Management
|
|
Special Approvals
|
General OHRP Forms
|
Concerns/Complaints
|
|
Most Used Forms
|
|
WVU Research Data Protection Form (WVU Build Form) |
|
|
|
WVCTSI Case Study Authorization Form (WVCTSI iLab Form) |
|
| WVCTSI Case Study Authorization Form (DOCX) | ||
|
|
Adult Non-Medical Consent Template
|
v8.0 6/2024 |
|
|
Adult Medical Consent Template |
v9.0 6/2024 |
|
|
Informational Cover Letter - Exempt, Flex, NHSR |
v3.0 6/2024 |
Pre-Approval
|
|
WVU Research Data Protection Form (WVU Build Form) |
|
|
PDF Instructions:
Modify a Submitted WVU Build Form (Data Protection Requests and HIPAA
Waivers)
|
Informed Consent
Informed Consent Templates
More Than Minimal Risk and Only Minimal Risk
|
|
Adult Non-Medical Consent Template | v8.0 6/2024 |
|
|
Adult Medical Consent Template | v9.0 6/2024 |
Cover Letter Templates
Only Minimal Risk
|
|
Expedited Cover Letter Template **only use when requesting a waiver of documentation |
v5.0 6/2024 |
|
|
Exempt, Flex, NHSR Cover Letter Template | v3.0 6/2024 |
Assent Templates
More Than Minimal Risk and Only Minimal Risk
|
|
Child Assent Form Template | v1.0 6/2022 |
|
|
Parent-Guardian Consent Form Template | v9.0 6/2024 |
Only Minimal Risk
|
|
Combined Parent-Guardian and Child Consent Form Template | v8.0 6/2024 |
HIPAA
|
|
HIPAA Waiver of Authorization Request Form (WVU Build Form) |
|
|
Standalone HIPAA Authorization Form (DOCX) |
|
|
WVCTSI HIPAA Preparatory to Research Request Form (Link to Instructions) |
|
|
WVCTSI HIPAA Preparatory to Research Request Form (Link to WVUCTSI iLab) |
|
|
HIPAA Decedent Authorization (WVU Build Form) |
|
|
PDF Instructions:
Modify a Submitted WVU Build Form (Data Protection Requests and HIPAA
Waivers
|
Electronic Informed Consent
Submission Worksheets
|
|
eIC Submission Worksheet (DOCX) |
Not required for NHSR, Exempt, or Flex protocols without PHI.
REDCap eTemplates
The files listed below must be accessed in the REDCap library and cannot be downloaded.
|
|
Remote eConsent with ID Verification Questions
|
|
|
In-Person eConsent
|
|
|
Cover Letter/Informational Sheet
|
|
|
Separate HIPAA Authorization
|
|
|
Standalone Assent
|
|
|
Recruitment Send eIC for Review Only
|
|
|
cIRB Combo Reliance Informed Consent Form with Signature, Email
|
Qualtrics eTemplates
- Download and upload the IRB-approved eTemplates into Qualtrics
- The files are in Qualtrics format (.QSF) and cannot be opened unless they are uploaded into Qualtrics.
- Qualtrics cannot be used for MMR protocols (Full Board Protocols)
Combo Forms
|
|
OMR eConsent (QSF File) **HSC Qualtrics Required for PHI
|
|
|
Standalone HIPAA eAuthorization (QSF File)
|
Other eTemplates
|
|
Survey eTemplate (QSF File)
|
|
|
Recruitment/Send Information for Review (QSF File)
|
Reliance
|
|
Reliance Request Form (WVU Build Form) |
|
|
Institutional Authorization Agreement-WVU IRB (DOCX) |
|
|
Institutional Authorization Agreement-External IRB (DOCX) |
|
|
Collaborative Research-Letter of Permission (DOCX) |
|
|
WVU-Required Consent Language for Advarra IRB (DOCX) |
|
|
WVU-Required Consent Language for WCG IRB (WIRB) (DOCX) |
Approved Studies
|
|
Research Event Form - PI and Research Staff (WVU Build Form) |
|
|
Protocol Closure Form (WVU Build Form) |
|
|
Protocol Status (WVU Build Form) |
Study Management Resources
|
|
Lost to Follow-up Notification Template (DOCX) |
|
|
Participant Follow-up Notification Template (DOCX) |
|
|
Change in PI Letter Template (DOCX) |
|
|
Data Safety Monitoring Plan Template (DOCX) |
|
|
SAE/AE Tracking Log Template (DOCX) |
|
|
Deviation Tracking Log Template (DOCX) |
|
|
Training Log Template (DOCX) |
|
|
Delegation of Authority Log Template (DOCX) |
Special Approvals
General OHRP Forms
Concerns/Complaints
|
|
Participant/Researcher Complaint or Concern Form (WVU Build Form) |
|
|
WVU Ethics Line (Ethics Point Online Form) |