Forms

All submissions to the IRB must be done electronically through IRBManager.  

 

 

IRBManager Login Page

The client code to log in is PBRC

IRBManager User Agreement Form

(Must be completed before access to IRBManager will be granted)

 

The following consent templates must be used when submitting an initial IRB submission to Pennington Biomedical Research Center IRB:

 

*For extra help with informed consent language/readability, go to Resources and Links.

 

Informed Consent for Adults

 

Informed Consent for Minors

 

HIPAA Authorization Form

Notice of Privacy Practices for Protected Health Information

Assent Form (Sample)

Verbal Assent (Sample)

Study Procedures with Associated Risks (v. 04/21/16)

Protocol Template   For guidance purposes only, protocols do not have to be submitted                                 in this format.

Facility Template (Letter of support for the proposed research project)

Letter to Sponsors on PBRC policy on Unanticipated Problem Reporting

Conflict of Interest Form   Completed Annually

Individual Investigator Agreement Template

Minor Deviation Log   Sample Template provided for use. Can use any template/format.