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
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 |
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Adult Medical Consent Template |
Cover Letter Templates
Only Minimal Risk
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Expedited Cover Letter Template |
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Exempt, Flex, NHSR Cover Letter Template |
Assent Templates
More Than Minimal Risk
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Child Assent Form Template |
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Parent-Guardian Consent Form Template |
Only Minimal Risk*
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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
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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 MMR Full Board Submission Worksheet (DOCX) |
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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
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MMR/OMR eConsent with ID Verification Questions |
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Standalone HIPAA eAuthorization |
Other eTemplates
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Standalone MMR/OMR eConsent
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Standalone Assent (Minors Ages 7 to 17)
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Survey eTemplate |
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Standalone Permission to Use Email Form with ID Verification Questions |
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Recruitment/Send Information for Review |
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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
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OMR eConsent QSF) *HSC Qualtrics Required for PHI |
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Standalone HIPAA eAuthorization (QSF) |
Other eTemplates
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Survey eTemplate (QSF) |
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Recruitment/Send Information for Review (QSF) |
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) |
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) |