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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)
WVU OHRP-23
Adult Non-Medical Consent Template
WVU OHRP-24
Adult Medical Consent Template
WVU OHRP-25
Informational Cover Letter - Exempt, Flex, NHSR (DOCX)

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
WVU OHRP-23
Adult Non-Medical Consent Template
WVU OHRP-24
Adult Medical Consent Template

Cover Letter Templates
Only Minimal Risk
WVU OHRP-27
Expedited Cover Letter Template
WVU OHRP-25
Exempt, Flex, NHSR Cover Letter Template

Assent Templates
More Than Minimal Risk
WVU OHRP-35
Child Assent Form Template
WVU OHRP-36
Parent-Guardian Consent Form Template
Only Minimal Risk*
WVU OHRP-37
Combined Parent-Guardian and Child Consent Form Template*
*Only minimal risk studies may choose to use OHRP-25 and OHRP-26 at their discretion. Studies teams should choose based on study design. 


HIPAA

WVU OHRP-21
HIPAA Waiver of Authorization Request Form (WVU Build Form)
WVU OHRP-38
Standalone HIPAA Authorization Form (DOCX)

WVUCTSI HIPAA Preparatory to Research Request Form (Link to Instructions)

WVUCTSI HIPAA Preparatory to Research Request Form (Link to WVUCTSI iLab)
WVU OHRP-22
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
WVU OHRP-45
eIC MMR Full Board Submission Worksheet (DOCX)
WVU OHRP-46
eIC OMR Expedited 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.

Combo Forms - Permission to Use Email Included
WVU OHRP-e01
MMR/OMR eConsent with ID Verification Questions
WVU OHRP-e04
Standalone HIPAA eAuthorization
Other eTemplates
WVU OHRP-e01
Standalone MMR/OMR eConsent
WVU OHRP-e05
Standalone Assent (Minors Ages 7 to 17)
WVU OHRP-e06
Survey eTemplate
WVU OHRP-e07
Standalone Permission to Use Email Form with ID Verification Questions
WVU OHRP-e08
Recruitment/Send Information for Review
WVU OHRP-e10
Case Study Authorization Form
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 - Permission to Use Email Included
WVU OHRP-e01
OMR eConsent QSF) *HSC Qualtrics Required for PHI
WVU OHRP-e04
Standalone HIPAA eAuthorization (QSF)
Other eTemplates
WVU OHRP-e06
Survey eTemplate (QSF)
WVU OHRP-e04
Recruitment/Send Information for Review (QSF)

Reliance

WVU OHRP-43
Reliance Request Form (WVU Build Form)
WVU OHRP-16
Institutional Authorization Agreement-WVU IRB (DOCX)
WVU OHRP-17
Institutional Authorization Agreement-External IRB (DOCX)
WVU OHRP-19
Collaborative Research-Letter of Permission (DOCX)

Approved Studies

WVU OHRP-08
Research Event Form - PI and Research Staff (WVU Build Form)
WVU OHRP-33
Protocol Closure Form (WVU Build Form)
WVU OHRP-05
Protocol Status (WVU Build Form)

Study Management Resources

WVU OHRP-40
Lost to Follow-up Notification Template (DOCX)
WVU OHRP-41
Participant Follow-up Notification Template (DOCX)
WVU OHRP-06
Change in PI Letter Template (DOCX)
WVU OHRP-10
Data Safety Monitoring Plan Template (DOCX)
WVU OHRP-11
SAE/AE Tracking Log Template (DOCX)
WVU OHRP-12
Deviation Tracking Log Template (DOCX)
WVU OHRP-30
Training Log Template (DOCX)
WVU OHRP-31
Delegation of Authority Log Template (DOCX)

Special Approvals


WVCTSI Case Study Authorization Form (WVCTSI iLab Form)

WVU Research Participant Payment Method Approval Form (WVU Build Form)
WVU OHRP-15
Participant Photo/Media Authorization (DOCX)

NIH Certificate of Confidentiality (NIH Online Form)

WVCTSI HSC New Onsite Data Repository Approval Form (WVU Build Form)

WVCTSI HSC New Onsite Biospecimen Repository Approval Form (WVU Build Form)
WVU OHRP-14
Approval In Principle Letter Template (DOCX)

General OHRP Forms

WVU OHRP-01
IRB Meeting Confidentiality Agreement (WVU Build Form)
WVU OHRP-02
CITI Program Administrator Confidentiality Agreement (WVU Build Form)
WVU OHRP-04
WVU HRPP Information Access Request (WVU Build Form)
WVU OHRP-34
COI Letter to External Party Letter (DOCX)

Concerns/Complaints


WVU OHRP-07
Participant/Researcher Complaint or Concern Form (WVU Build Form)

WVU Ethics Line (Ethics Point Online Form)
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