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Institutional Review Board

Forms

Forms  

Complete each section of the appropriate form (no handwritten forms). Email the form and any supporting documentation necessary to kwear@highpoint.edu. Signatures should be scanned and included as part of the electronic submission if possible.

 

Each item below is a link to the form template (Word).

 

Protocol Application

Exemption Checklist

Continuing Review Interim Report

Protocol Modification

Protocol Completion Report

Adverse Event

Informed Consent Adult

Informed Consent Child

Parental Permission

 

 

Contact Us

Chair of the IRB: Dr. Kimberly Wear

kwear@highpoint.edu
(336) 841-9246

Forms

Complete each section of the appropriate form (no handwritten forms). Email the form and any supporting documentation necessary to kwear@highpoint.edu. Signatures should be scanned and included as part of the electronic submission if possible.

The PDF versions of these forms are best viewed with Internet Explorer. If the content in the form does not load, please save the file to your computer and open it with Adobe Reader.

Consent Templates