Submit all forms to:
     VCU Office of Research Subjects Protection
     800 East Leigh Street, Suite 114
     Box 980568
     Richmond, VA 23298

VCU IRB Forms

**NOTE: The DHHS Office of Human Research Protections (OHRP) has recently re-designed its website.  We are aware that many links are being updated and, as a result, links to OHRP webpages within our documents may be broken.  To link to specific OHRP webpages, please go to the main OHRP page - http://www.hhs.gov/ohrp/ - and use the menu to navigate to OHRP resources cited in VCU IRB materials or use key words with the search function.

Most of the following forms are in Microsoft Word format , unless otherwise noted.

NOTE: VCU IRB forms are revised periodically. When preparing a submission, please be sure to use the most current versions of the forms by referring to this website and linking to the forms below. (The IRB will accept the preceding version of the form for 30 days following the posting of a revised form.)

Submission Forms

• Initial Review Submission Form (rev 6-1-11)
• VCU Research Plan Template (rev 6-1-11)
• Exempt Review Submission Form (rev 6-1-11)
• Study Personnel Roster (6-1-11)
• Study Personnel Information and Change Form (6-1-11)
• Appendix A: HIPAA (6-1-11)
• Change in Research Submission Form (rev 6-1-11)
• Continuing Review Form (rev 6-1-11)
• Children-Subject Form (rev 7-30-08)
• Pregnant Women, Fetuses, Neonates-Subject Form (rev 6-1-08)
• Prisoner-Subject Guidance and Form (5-15-06)
• Study Closure Form (rev 2-15-09)
• Appeal Form (rev 9-1-09)
• Principal Investigator Eligibility Form

HIPAA Forms

• Review Preparatory to Research form
• Data Use Agreement
• Authorization template (6-1-11)
• Research with Decedent form (6-1-11)

To learn more about HIPAA guidance, please visit:
www.research.vcu.edu/irb/hipaa-guidance.htm

Submission Instructions

• Submission Instructions for the Addition of Independent Investigators (6-23-06)
• Submission Instructions for the Addition of Non-VCU Institutions/Sites (Domestic and Foreign) (rev 6-1-08)

Conflict of Interest Forms

• Conflict of Interest Disclosure Statement (10-15-04)
• Disclosure Supplement Form (2-1-05)

VCU IRB Reporting Forms [click here for tutorial ]

• VCU IRB Prompt Reporting Form for UPs (rev 3-1-08)
• VCU IRB Non-Prompt Reporting Form (rev 1-15-08)

Consent & Assent Templates

• Biomedical Consent Template (rev 1-1-12)
• Social-Behavioral Consent Template (rev 6-15-10)
• Social-Behavioral Assent Template (6-28-06)
• Guidance for preparing forms and consents

VCU IRB Submission Tips and Instructions

The VCU IRB Submission Tips and Instructions have been moved to:
www.research.vcu.edu/irb/vcuirb_submission_instructions.htm