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Forms Required for Submission

Form

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  • IRB Application Form (required)

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  • IRB Protocol Coversheet (required)
     
     

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  • IRB Key Personnel Form (required)

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Additional Forms

Form

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  • IRB Audio and  Video
         Release Consent Form

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  • IRB Classroom Practica Form

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  • IRB Classroom Practica
    Student Certification Form
    (This form is to be completed for each student involved in  the research practica)

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  • IRB Request for Addendum/Modification for Approved Protocol

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  • IRB Unaffiliated Investigator Form

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  • HIPAA Data Use Agreement

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  • Agency Letter of Cooperation Template
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  • Approval in Principle Form
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  • Adverse Event and Unanticipated
    Problem Form
Microsoft Word

Guidance Materials

Form

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  • IRB Manual

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HIPAA Forms

Form

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  • HIPAA Research Authorization Form (General)

Link to Website

  • HIPAA Research Authorization Form (HIV)

Link to Website

  • HIPAA Research Authorization Form
          (Psychotherapy Notes)

Link to Website

  • HIPAA IRB Waiver Application

Link to Website

  • CUNY Subject Information Confidentiality Agreement

Link to Website


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Hunter College of CUNY
IRB Office
695 Park Avenue
Room E1426
New York, NY 10021

 
     
     
 

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