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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
   
 

Form

Type of Review
 Amendment/ Modification: IRB Form #5

Full or Expedited

(2) Updated Informed Consent, if applicable
 
 

Form

 

MHRI Informed Consent Template

 

MHRI-GU Joint Informed Consent Template

 

MRI Genetic Consent Template

 

MHRI Assent Template

(3) Updated HIPAA Information, if applicable
  
 

Form

 

HIPAA Authorization Template

 

Waiver Application

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

Form

 

Subinvestigator Information: IRB Form #2B

(5) Change of Principal Investigator, if applicable
 

Form

 

FDA Form 1572

 

Investigator Agreement (IDE trials) - Sponsor - generated.

 

Investigator's Compliance Statement Template

Contact Information

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