UW Research

Forms and Templates

*IRB Protocol

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This form is used in conjunction with Zipline to submit an application to the IRB. If you anticipate that you will have no contact with subjects, such as with a medical records review, use the form: APPLICATION IRB Protocol, No Contact with Subjects.

The form must be submitted as a Word document (not PDF or other format).

Change Notes

Minor clarifications to: audio recording RCW; UW Medicine security review questions; consent presenter qualifications; alternatives to research participation – 11.29.2023
Revise and expand question on RCW for audio recording; clarify consultation question; make it clear an identifiable LDS created for an investigator’s own use requires a HIPAA waiver – 10.02.2023
Revise data sharing question for clarity and to add advisory point about UW Medicine security review for machine learning using UW Medicine PHI – 06.29.2023
Add references to GUIDANCE Designing the Consent Process; remove references to Standard Consent Template; remove taxonomy emphasis for all references – 06.01.2023
Remove COVID questions; minor revision to the way the research-related costs question is asked – 03.30.2023