IRB Templates/Forms
Protocol
- Protocol for biomedical or social behavioral research.
- Protocol for NIH funded behavioral and social science research.
Site Permission
- Site Permission – If the research includes study activities taking place at sites other than CU, CHI Omaha locations, or facilities belonging to one of CU’s partner organizations in Phoenix, provide the IRB with a Site Permission letter from each organization/location at which the research is being conducted.
Consent
- Information Sheet – Short form consent. For use when a participant signature is not required (waiver of documentation of consent).
- Informed Consent Form – Full informed consent with a signature line.
Assent
Parent/Guardian Permission
Protected Health Information (PHI) Authorization
Instructions for Completing the NEW HIPAA for Research Purchases.
- Creighton HIPAA Authorization Template for Research *NEW*
- The HIPAA for Research Purposes has been revised and simplified. Submitters are instructed to:
- Complete the study-specific information at the top of page one (Study Title, IRB Number, PI, etc.).
- Update the bulleted information in RED on page one as appropriate to your study. Remove CHI Health if CHI is not involved in your study, add the name of the study sponsor if your protocol is funded, and add the names(s) of other partnering institutions as necessary.
- Check the appropriate box on page three regarding release of medical records. Please read the options carefully.
- Make no additional edits or changes to the form.
- If you have questions about completing the form, please call the Research Compliance Office at 402.208.2126.
Additional Templates/Forms
- Certificate of Translation
- Corrective and Preventive Action (CAPA) Plans – For use when a corrective action plan has been requested.
