
Forms & Tools
General IRB Information
- Membership Letter
- Compliance Letter
- IRB Registration Letter
- Policies and Procedures (ver. 4-23-2012)
Templates
Document Stamping Template and Guidance (All eIRB Consent forms, HIPAA Authorization forms, and Revocation Letters should be on this template. This should not be used for Paper studies.)
Emory, Grady, CHOA Consent Templates
- Emory Biomedical Consent Template (ver. 2-24-12)
- Sociobehavioral Consent Template (ver. 5-11-11)
- Grady Consent Template (ver. ver. 2-24-12)
- CHOA Consent Template (ver. ver. 2-24-12)
- Emory/WIRB Consent Template (ver. 3-14-11)
- Spanish Biomedical Consent Template (ver. 2-13-09)
- Assent Template (ver. 8-27-09)
HIPAA Authorization and Revocation Templates
- HIPAA Patient Authorization Template (ver. 10-11-11)
- Emory/WIRB HIPAA Authorization Template
- Spanish HIPAA Authorization Template (ver. 9-9-09)
- Revocation Letter Template
AVAMC Templates
- VA Consent Template and Guidance (VA Form 10-1086)
- VA HIPAA Authorization Template
- VA HIPAA Revocation Letter Template (VA Form 10-2105j)
For more guidance on VAMC templates, please go to the Atlanta Research & Education Foundation Forms page, where you may find more complete information regarding current template updates and changes. That page can also provide copies of consent documents with the changes tracked, emphasizing portions that have been updated with the latest version.
Consent Instructions and Guidance
Emory IRB Guidance
- Drafting & Editing Consent Forms
- Informed Consent Basic Elements
- Emory IRB Training on Lay-friendly ICFs
Federal & Other Guidance
- FDA: A Guide to Informed Consent
- OHRP Tips on Informed Consent
- Simplification Guide to Medical Terms (Lay Language)
- NCI/Clinical Trials Cooperative Group Guide to Lay Terms for Informed Consent
Waiver or Alteration of Consent/HIPAA
Cancer Studies
Winship Cancer Institute Resources
- Winship Drug Accountability Log
- Winship Informed Consent Policy for Therapeutic Studies
- Winship Informed Consent Policy Tip Sheet
- Winship Informed Consent Template with Signature Page
NOTE: All Winship SOPs have been moved to the
Winship Cancer Institute website
Cancer Therapy Evaluation Program (CTEP) Resources
- CTEP Investigator's Manual: draft courtesy of CTEP 2/2010
- CTEP Policy on Authorized Prescribers
- CTEP Policy Development (deviations and amendments) SOP
Clinical Trials
Office of Quality Checklists
Key Points Summary
- Key Points Summary
- Sensitive Studies Summary
- Letter on Sensitive Studies
- Request for Sensitive Study Status Worksheet
Reportable Events and Quality Assurance
Emory IRB Guidance and Forms
- Reportable Events Guidelines (ver. 9-09-09)
- Protocol Deviation Assessment Form (ver. 11-3-11)
- Reportable Event Assessment Form (ver. 11-3-11)
- Guidance for Serious or Continuing Noncompliance and UPs (ver. 8-31-09)
- Reporting Periods Chart for Adverse Events, Protocol Devations, and Unanticipated Problems (ver. 11-14-11)
- Root Cause Analysis Worksheet (ver. 11-23-10)
- Sample Summary of Events at Continuing Review
- Self-Audit Tool (ver. 6-30-11)
- Note to File template (ver. 11-3-11)
- Designation of Authority Log (ver. 1-11-12)
- Fluid & Tissue Sample Log (ver. 11-1-11)
- Eligibility Criteria Checklist (ver. 11-3-11)
- Enrollment Log (ver. 10-19-11)
- Subject Schedule by Enrollment Date (ver. 11-3-11)
VA Guidance and Forms
External Events
New Submission Guidance
Initial Submission Guidance and Documents
Lay Summary Guidance
Protocol Format
Additional Study Documents
- Advertising and Recruitment Guides & Information
- Genetic Research Guidance
- Guidance on Certificates of Confidentiality for Emory Researchers
- Questionnaires, Rating Scales, Interviews
- Site Permission Letter
- Emory Policy on Costs of Care in Case of Injury
- Emory Policy on Costs of Participation for External Sponsors
Data and Safety Monitoring Boards and Plans Guidance
Drugs and Devices
Ancillary Review
- Biosafety Review Guidelines
- Conflict of Interest Guidance for Emory University
- Grady Memorial Hospital Research Oversight (ROC) Application
- Grady Memorial Hospital Research Oversight Committee (ROC) Overview and Guidelines
Vulnerable Populations Worksheets
- Pregnant Women, Fetuses, and Neonates
- Prisoner Subjects
- Minor/Children Subjects Worksheets
- Guidance Sheet for Cognitively Impaired
- Research Involving Individuals with Questionable Capacity to Consent (NIH)
ResearchMatch
Paper Forms
New Study - N/A. Please note: all new study submissions must go through the eIRB system. This list applies to existing paper studies.
Amendments/Modifications
Reportable Events
- Protocol Deviation Report Form
- Reportable Event Form (ver. 8-27-09)
- VA Reportable Event Form (ver. 11-23-10)
Continuing Review/Reapproval/Renewal
Please include consent/assent forms, HIPAA authorization forms, and revocation letters (where applicable) that were approved at the last renewal. If you are proposing changes, please submit the version you plan to use in the next approval period.
If your study has a HIPAA authorization form, please be sure to use the most updated form. If your HIPAA authorization form indicates that a revocation letter will be given to study subjects, please include that with your renewal.
Consent/HIPAA Documents
The IRB no longer maintains separate consent/HIPAA documents for paper studies. Please use the documents in the Consent Toolkit section above.
For more guidance on VAMC templates, please go to the Atlanta Research & Education Foundation Forms page, where you may find more complete information regarding current template updates and changes. That page can also provide copies of consent documents with the changes tracked, emphasizing portions that have been updated with the latest version.
The stamping header should be removed from all consent/HIPAA documents used for paper studies.
VA Documents for Paper Studies
- VA Informed Consent Template Form (Paper Form)
- VA HIPAA Authorization Template (Paper Form)
- VA HIPAA Revocation Letter Template (Paper Form)
Grady Memorial Hospital
Close-Outs
Please submit by only one method! How to deliver your paper forms
Email (preferred): irb@emory.edu
In person, by US, express, or campus mail to:
East, Atlanta GA 30322. Mail stop 1599-001-1AV
Fax to (404) 727-1358
Remember: submit just once by only one method. Thank you.

