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