Application Materials

If you have any questions about application materials or the process, please contact us.

• Adverse Event / Unanticipated Problem Report Form
• Amendment / Modification Form
• Application for Humanitarian Use Device
• Emergency Use Consent Form Template
• Emergency Use Report
• Enrollment Closure Form
• Final Study Closure Application
• Informed Consent Checklist
• IRB Application for Initial Review
• IRB Continuation Form
• IRB Determination Form
• IRB Fee Schedule
• Protocol Closure or Suspension Form
• Protocol Deviation Report Form
• Request for Exemption

Supplemental Forms:

• Additional Research Personnel
• Financial Conflict of Interest Disclosure Form
• Multiple Adverse Events Reporting Form
• Research Involving Cognitively Impaired Individuals
• Research Involving Stored Data for Future Use
• Request for Approval of Deception in Research
• Request for Waiver of Consent
• Request for Waiver of Written Consent
• Use of Internet in Human Participants Research
• Waiver of HIPAA Authorization

Colquitt Regional does not currently conduct or support studies involving prisoners, pregnant women, human fetuses or neonates.