University of Texas Houston Health Science Center
 

Forms and Consent Templates


Frequently-requested consent templates and institutional forms used in Human Subjects research are available online for your convenience.

CONSENT / ASSENT  Templates

CHECKLISTS

Protocol Template (simple)

Protocol Template (complex)

Adolescent Assent - English

Adolescent Assent - Spanish

Informed Consent - English

Informed Consent - Spanish

Informed Consent - English (HIPAA)

Informed Consent - Spanish (HIPAA)

DNA Consent - Mandatory Language

Biological Sample Retention - Mandatory Language

IRB Reviewer Checklist

Advertisement Checklist

Department Chair Signoff

Quality Improvement Guidance

Biological Sample Retention- Consent Guidelines

   

Other Helpful TOOLS / FORMS

Conflict of Interest Certification

FDA Registration Document / Statement of IRB Compliance

Pediatric Risk Assessment Form

 

Guest Account Information

Notary Verification Form For Guest

IS Security Acknowledgement

 

 



UTHealth’s Compliance Hotline (1-888-472-9868)
For other questions, please call us at 713-500-7943.

 

Office of Research
Support Committees

6410 Fannin, Suite 1100
Houston, Texas 77030

Phone 713.500.7943
IRIS Support 713.500.7960
Fax 713.500.7951
Email cphs@uth.tmc.edu

last modified February 20, 2013

 

UTHealth
Office of Research
7000 Fannin St
Houston, Texas 77030

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