Forms

All submissions to the IRB must be done electronically through IRBManager.  

 

 

IRBManager Login Page

The client code to log in is PBRC

IRBManager User Agreement Form

(Must be completed before access to IRBManager will be granted)

 

The following consent templates must be used when submitting an initial IRB submission to Pennington Biomedical Research Center IRB:

 

*For extra help with informed consent language/readability, go to Resources and Links.

 

Informed Consent for Adults *Recently updated

 

Informed Consent for Minors *Recently updated

 

Informed Consent Template Guidance *New document

 

Informed Consent for Age of Majority *New document

 

HIPAA Authorization Form

Notice of Privacy Practices for Protected Health Information

Assent Form (Sample)

Verbal Assent (Sample)

Study Procedures with Associated Risks (v. 07/13/17)*Recently updated Institution approved procedure description language & procedure risk language for the consent form.

Protocol Template   For guidance purposes; Template format not required.

Facility Template (Letter of support for the proposed research project)

Letter to Sponsors on PBRC policy on Unanticipated Problem Reporting

Conflict of Interest Form   Completed Annually by PBRC Adjunct Faculty and External Investigators.

Individual Investigator Agreement Template

Minor Deviation Log   Sample Template provided for use. Template format is not required.