IRB Forms

For application forms, see IRBIS. For additional guidance on exempt and non-exempt consent, parental permission, and assent processes and templates, please visit the Consent Templates and Guidance page

Below you will find several forms regularly used in research and uploaded to IRBIS as part of your application to conduct human subjects research. Research Protections regularly reviews and updates these forms due to changing regulations and University and Research Protections policies. If you keep copies of the forms on your local drive, please visit this site periodically to ensure you have the latest versions.

Document

Purpose

Version date

Standard Consent Template for Non-Exempt ResearchThe Standard Consent Template is appropriate for use with all research that is not exempt from IRB review. Researchers conducting non-exempt human subjects research are highly encouraged to use this template, and the Office of Research Protections or the IRB may require that researchers use this template as part of stipulations for your study to be approved. Additional instructions for this template are contained within the document itself. For additional guidance on consent, parental permission, and assent processes and templates, please visit the Consent Guidance and Templates webpage.11/18/2020 
Consent Template for Exempt ResearchThis template can be used for all exempt research procedures involving adults. If your exempt research involves children, this form can be edited to be used as a parental permission form by replacing “you” with “your child,” where appropriate, throughout this form.  In addition, this form may be appropriate for obtaining assent from older children who read at an 8th grade reading level or above. This form is for guidance only; the Office of Research Protections does not review consent forms as part of an exempt determination. Remove all red and italicized text after completion. For additional guidance on exempt consent, parental permission, and assent processes and templates, please visit the Consent Guidance and Templates webpage.12/18/2013
Assent Template for MinorsThis template can be used for children who may be too young to use the above templates, but may still be capable of understanding the study when explained in more simple terms. For additional guidance on exempt consent, parental permission, and assent processes and templates, please visit the Consent Guidance and Templates webpage.09/14/2015
PHI Release TemplateIf you need access to Private Health Information (PHI) protected by HIPAA, participants must provide permission for you to receive or access their health data.  This form provides a basic template for designing such a release. This form is for guidance only, and all PHI release documents should be reviewed by the HIPAA compliance officer of the covered entity which holds the data to be accessed for research purposes. This form is not reviewed by the Office of Research Protections.02/24/2019
Adverse Event FormThis form is used to report an Adverse Event that occurs during the course of your research project.03/20/2018 
Individual Investigator AgreementIf you are collaborating with a researcher who is not affiliated with Appalachian State or any other institution with an IRB, this form is to request that Appalachian State's IRB provide the appropriate oversight.  This form does not apply when a Reliance Agreement is being used.02/24/2019