Documents
Document Update Schedule
- HSD posts updated documents to the web site on the last Friday of each month. In rare cases, due to an urgent need, an updated document will be posted during the month.
- HSD and the IRB ask that researchers make every effort to use the most recent document version.
- Questions about a specific document version? Contact hsdforms@uw.edu.
Document Details
| Last Updated | 01/16/2013 |
|---|---|
| Version | 3.30 |
| Filesize | 113.5 KB |
| Audiences | Researcher |
| Doc Type | Template |
UW/WIRB Consent Template
Related Documents
- UW/WIRB Clinical Pharmacology Unit (CPU) Consent Template
- UW/WIRB Cover Sheet
- UW/WIRB Initial Review Process Diagram
- WIRB - Background on WIRB
- WIRB - Cancer Consortium Members
- WIRB - Conflict of Interest
- WIRB - Criteria for Review by WIRB
- WIRB - Documentation of Human Subjects Training
- WIRB - Final contract between the UW and the sponsor
- WIRB - HSD screening before applying to WIRB
- WIRB - IRB fees for review
- WIRB - Modifications
- WIRB - Other regulatory and compliance approvals
- WIRB - Partial Waiver of Authorization for Recruitment
- WIRB - UW Confidentiality Agreement
- WIRB - UW Consent Form
- WIRB - UW HIPAA Authorization Form
- WIRB - Western IRB's Review Process
- WIRB Clinical Pharmacology Unit Fee Schedule
- WIRB Clinical Pharmacology Unit Services Brochure
- WIRB Fee Schedule 2013
Change Notes
- Related to Ver. 3.30, noted 01/16/2013 @ 01:18pmUpdated FCOI language. This change does not require modification of any existing approved consent forms.- sherrye
- Related to Ver. 3.20, noted 06/29/2011 @ 08:27am• COST section includes new proposed language for subjects with Medicare Advantage Plan. This section has been reviewed and approved by the UW Attorney General’s Office. • CONFIDENTIALITY AND PRIVACY section includes new language required by the Food and Drug Administration (FDA) about registering clinical trials with ClinicalTrials.gov. This language is mandated by law and may not be changed. • COMPENSATION FOR INJURY section has updated language about the sponsor’s obligation to report to Medicare if the sponsor pays for research related injuries. This language is preferred by major sponsors. • SOURCE OF FUNDING section includes new language for device studies. MedicareNoridian will not pay for the device without this language.- sherrye
- Related to Ver. 3.10, noted 02/07/2011 @ 01:18pmUpdates to section on Significant Financial Interest.- sherrye


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Purpose
This consent template is to be used with UW studies that are being reviewed by Western IRB (WIRB).