Select the appropriate form template to download and edit accordingly.

If the study involves MRI, be sure to include the Additional Language for Studies Involving MRI Procedures.

Some documents include footers that are designed to allow for electronic "stamping" of the IRB Tracking Number (STU#) and Approval Dates.

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Protocol Forms

Protocol Template (Cancer Related) Research is cancer-related.
Required by PRMC at Simmons Cancer Center.
Protocol Template (Non-Cancer Related)
  • Research is not cancer-related AND if you do not have a separate protocol
  • Not required for chart review studies

Refer to Protocol Guidelines for more information.

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