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Amendment or Modification

Amendment or Modification application forms/templates are available in Microsoft Word Format. To download a form, click on the link provided in the form title.

(1) Amendment/ Modification Form


Type of Review
  Amendment/ Modification: IRB Form #5

Full or Expedited

(2) Updated Informed Consent, if applicable



MHRI Informed Consent Template


MHRI-GU Joint Informed Consent Template


MRI Genetic Consent Template


MHRI Assent Template

(3) Updated HIPAA Information, if applicable



HIPAA Authorization Template


Waiver Application

(4) Addition of Subinvestigator(s), if applicable



Subinvestigator Information: IRB Form #2B

(5) Change of Principal Investigator, if applicable



FDA Form 1572


Investigator Agreement (IDE trials) - Sponsor - generated.


Investigator's Compliance Statement Template

Contact Information

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