•  WCM Informed Consent Template (with Key Information section)
  
•  Key Information Section ONLY Template

See our list of Medical Terms in Lay Language for use in Informed Consent Forms

IRB Research Application (IRA) Forms

For all new initial applications submitted to New Submissions must be attached to an IRB Research Appication (IRA). Please select and fill in the applicable IRB Research Application (IRA) linked below.  Once complete, please upload it to WRG as part of your new submission. 

• Biomedical IRA:  Use this IRB Review Application if you have completed the Therapeutic Studies JCTO Protocol template and/or have a study which will use a device/drug or implement a clinical trial.
• Biorepository IRA: This template is only to be used for the establishment of a biorepository (storage and maintenance) for potential future use, not testing and research.
• SBER and Records IRA:  Use this IRB Review Application if you have completed the Non-Therapeutic Studies or Tissue Use/Chart Review JSCO template, the Education Protocol Template and/or have a study which will use conduct social, behavioral, or educational research.

Supplemental Forms

• Drug Form
• Device Form
• Specimen Form

•  NCI CIRB Standalone HIPAA Authorization Form
  Standalone HIPAA Authorization template document, for use with the NCI CIRB Boilerplate ICF Template (version: 01/2021).
•  NCI CIRB Boilerplate ICF Template
  CIRB-approved boilerplate language (version: 09/2020), to be inserted into the CIRB-approved consent form(s) by the Investigator.
•  Protocol Deviation Log Template
  Template to report protocol deviations at the time of IRB Continuing Review.
•  WCM IRB Reliance Memo
  Form to document study details when using an existing reliance agreement.
•  SMART IRB Acknowledgement Memo
  Form for use of the SMART IRB Master Agreement for federally funded cooperative research.
•  WCM Single Scope Reliance
  Local template reliance document for multisite studies not utilizing federal funding or existing agreements.
•  HIPAA Form: Investigator Representation for Research on Protected Health Information of Decedents
  For completion when research will use or disclose the PHI of decedents.
•  English Short Forms & Translated Versions
  For use in the event of unexpected enrollment of a non-English speaking subject.
•  Informed Consent and HIPAA Authorization for Research
  Informed consent and HIPAA Authorization template document.
•  Assent Form for Minors for Clinical Investigation
  Assent template document for enrolling children ages 7-11 or 12-17.
•  Informed Consent for Research Involving Genetic Testing
  Informed consent template document for research involving genetic testing.
•  AE & IND Safety Report Cumulative Table
  A table for reporting adverse events to the IRB at the time of Continuing Review.