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Human Subjects Division (HSD)


Document Details

Last Updated 09/26/2014
Version 1.30
Filesize 100.5 KB
Audiences Researcher
Doc Type Template

TEMPLATE: Consent Form, UW/WIRB Clinical Pharmacology Unit (CPU)


This consent template is to be used with UW studies whose sites have been pre-qualified for Clinical Pharmacology Unit (CPU) review at Western IRB (WIRB). Sites that have not gone through the WIRB CPU pre-qualifying process should use the UW/WIRB Consent Template.

Change Notes

  • Related to Ver. 1.30, noted 09/26/2014 @ 10:17am
    Removed two items from the information to be put in the medical record: 1. Expected start and end dates for your time in the study and 2. Whether there are healthy volunteers in the study.
    - sherrye
  • Related to Ver. 1.20, noted 04/25/2014 @ 09:46am
    Change to number 3 under Information that will be put in your medical record. Use this version going forward.
    - sherrye
  • Related to Ver. 1.10, noted 12/27/2013 @ 09:48am
    Updated WIRB address
    - sherrye
  • Related to Ver. 1.00, noted 10/19/2013 @ 04:55pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 1.00, noted 04/26/2013 @ 11:13am
    Document newly added.
    - sherrye