Skip Navigation
 
 
 
 
 
Print This Page
Share this page: More
 

JHM IRB Forms

All new research applications, including Exempt Applications, for review by JHM IRB must be submitted through eIRB. eIRB is an informatics tool that supports electronic, on-line submission of applications to the Johns Hopkins Medicine IRBs.

Application Forms

Changes in Research Application - No longer available. Use eIRB Change in Research to submit.

Continuing Review Application - No longer available. Use eIRB Continuing Review Application to submit.

JHM IRB eFormA-Protocol - For eIRB studies ONLY

eProgress Report - eIRB Continuing Review Progress Report

Form A - No longer available. Use eFormA in eIRB to submit a revised Form A.

Research Determination Worksheet - We no longer accept Research Determination Worksheets in order to issue official IRB determinations. For Not Human Subjects Research (NHSR) projects, submission to the IRB is voluntary; if you would like documentation of an IRB determination of NHSR, submit an eIRB application checking "NHSR" at Screen 1, Question 6. For exempt projects, submission to the IRB is required; submit an eIRB application checking "Exempt" at Screen 1, Question 6.
Consent Forms

Combined Informed Consent/Authorization Template All new and revised consent forms are required to be on this template as of December 1, 2013. Consent forms received after December 1, 2013 on an outdated template will be returned and the application will not be processed until the correct consent forms are submitted. NOTE: Continuing reviews do not require submission of consent form(s) and do not require the transfer of the approved consent form(s) to the Version 14 Informed Consent Template. For more information on the changes in Version 14...

Combined Parental Informed Consent/Authorization Template Use when ALL study participants are under 18 years of age and parent(s)/guardian(s) consent is required
Compassionate/Emergency Use Informed Consent/Authorization

Johns Hopkins CIRB Pediatric Consent Form Template

Johns Hopkins CIRB Adult Consent Form Template

Human Pluripotent Stem Cell Research consent form template

Sample Research Assent Form for Children (.rtf version)

Oral Consent Form Script

Oral Assent Form Script

Telephone Screening Script

Short Form Consent for participants who do not speak English

Johns Hopkins/King Khaled Eye Specialist Hospital Informed Consent Template

National Institute on Drug Abuse (NIDA) Consent (Not available; use either the JHM IRB consent or available from NIDA)

Singapore HIPAA - Combined Informed Consent/Authorization (Use the template provided by the local Singapore site)

HIPAA Forms
HIPAA forms
Problem/Event Report Form

RF3 - Event Report Summary Sheet
Attach to the Continuing Review Application to summarize anticipated problems/events or Submit if sponsor requires adverse event reporting that does not meet JHM IRB requirements

RF4 - Protocol Deviation Summary Sheet
(Attach to the Continuing Review application to summarize administrative and minor departures from protocol.)

Additional Forms

Biosafety Registration Form - Human tissue, infectious agents, pathogens, oncogens, or toxins

Biosafety Registration Form - Recombinant DNA (gene transfer or vaccine) component

Biospecimen Transfer Information Sheet

Checklist for Submission of CIRB documents to JHM IRB

Certification for Translation

Genome Wide Association Studies (GWAS)
HIV Testing-State of Maryland Law and Informed Consent

Investigational Drug Data Sheet (DDS) All new and revised drug data sheets are required to be submitted on the updated template as of May 1, 2013. Investigational Drug Data Sheets received after May 1, 2013 on an outdated template will be returned and the application will not be processed until the correct drug data sheets are submitted. Please note that a separate IDDS must now be submitted for each site (HCGH, Sibley Memorial, Suburban, JHBMC) at which the IND will be dispensed.

Investigational New Drug Application

JHCP - Research Application Form

JHH - Request for Approval of Nursing Research

JHH Imaging Form - Radiology Research Policy Document

Radiology Research Agreement

Maternal Fetal Research Committee Form

Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption-(Optional Form 310)

Radiation Form and Worksheets (RCU 5) Form (pdf)

Radiation Dosimetry Tables

Recruitment Ad Template

Research Ethics Educational Activity Application

Verification of Confidential Nature (VCN) form (this is a form found on the JH Shared Services website)

AAHRPP

 

 

Traveling for care?

blue suitcase

Whether crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

U.S. 1-410-464-6713 (toll free)
International +1-410-614-6424

 

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. All rights reserved.

Privacy Policy and Disclaimer