Quick Access
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Most Used Forms
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Pre-Approval
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Informed Consent
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HIPAA
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Electronic Informed Consent
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Reliance
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Approved Studies
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Study Management
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Special Approvals
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General OHRP Forms
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Concerns/Complaints
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Most Used Forms
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WVU Research Data Protection Form (WVU Build Form) |
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WVCTSI Case Study Authorization Form (WVCTSI iLab Form) |
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Adult Non-Medical Consent Template
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v1.0 6/2022 |
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Adult Medical Consent Template
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v2.0 7/2022 |
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Informational Cover Letter - Exempt, Flex, NHSR (DOCX)
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v1.0 6/2022 |
Pre-Approval
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WVU Research Data Protection Form (WVU Build Form) |
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PDF Instructions:
Modify a Submitted WVU Build Form (Data Protection Requests and HIPAA
Waivers)
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Informed Consent
Informed Consent Templates
More Than Minimal Risk and Only Minimal Risk
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Adult Non-Medical Consent Template | v1.0 6/2022 |
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Adult Medical Consent Template | v2.0 7/2022 |
Cover Letter Templates
Only Minimal Risk
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Expedited Cover Letter Template | v2.0 5/2022 |
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Exempt, Flex, NHSR Cover Letter Template | v1.0 6/2022 |
Assent Templates
More Than Minimal Risk
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Child Assent Form Template | v1.0 6/2022 |
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Parent-Guardian Consent Form Template | v1.0 6/2022 |
Only Minimal Risk*
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Combined Parent-Guardian and Child Consent Form Template* | v1.0 6/2022 |
*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
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HIPAA Waiver of Authorization Request Form (WVU Build Form) |
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Standalone HIPAA Authorization Form (DOCX) |
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WVUCTSI HIPAA Preparatory to Research Request Form (Link to Instructions) |
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WVUCTSI HIPAA Preparatory to Research Request Form (Link to WVUCTSI iLab) |
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HIPAA Decedent Authorization (WVU Build Form) |
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PDF Instructions:
Modify a Submitted WVU Build Form (Data Protection Requests and HIPAA
Waivers
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Electronic Informed Consent
Submission Worksheets
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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.
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Remote eConsent with ID Verification Questions
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In-Person eConsent
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Cover Letter/Informational Sheet
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Separate HIPAA Authorization
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Standalone Assent
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Recruitment Send eIC for Review Only
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cIRB Combo Reliance Informed Consent Form with Signature, Email
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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
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OMR eConsent (QSF File) **HSC Qualtrics Required for PHI |
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Standalone HIPAA eAuthorization (QSF File) |
Other eTemplates
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Survey eTemplate (QSF File) |
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Recruitment/Send Information for Review (QSF File)
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Reliance
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Reliance Request Form (WVU Build Form) |
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Institutional Authorization Agreement-WVU IRB (DOCX) |
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Institutional Authorization Agreement-External IRB (DOCX) |
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Collaborative Research-Letter of Permission (DOCX) |
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WVU-Required Consent Language for Advarra IRB (DOCX) |
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WVU-Required Consent Language for WCG IRB (WIRB) (DOCX) |
Approved Studies
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Research Event Form - PI and Research Staff (WVU Build Form) |
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Protocol Closure Form (WVU Build Form) |
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Protocol Status (WVU Build Form) |
Study Management Resources
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Lost to Follow-up Notification Template (DOCX) |
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Participant Follow-up Notification Template (DOCX) |
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Change in PI Letter Template (DOCX) |
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Data Safety Monitoring Plan Template (DOCX) |
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SAE/AE Tracking Log Template (DOCX) |
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Deviation Tracking Log Template (DOCX) |
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Training Log Template (DOCX) |
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Delegation of Authority Log Template (DOCX) |
Special Approvals
General OHRP Forms
Concerns/Complaints
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Participant/Researcher Complaint or Concern Form (WVU Build Form) |
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WVU Ethics Line (Ethics Point Online Form) |