Do not save these forms onto your computer for future use. Please download a new form each time to ensure you are using the most current versions. To save prior to completion, right click on link, select ‘SAVE TARGET AS’ or ‘SAVE LINK AS’.
- New Study Submission Forms
- Continuing Review/Reinstatement Forms
- Request Forms for revised/new study documents for previously approved study
- Unanticipated Problems/AE/IND Safety Report Forms
Miscellaneous Forms
Please submit the forms below to either your assigned IRB Coordinator or to integreview@integreview.com.
Closure Notification form (revised 12/5/11)
This form to be used to submit notification of study/site closures for previously-approved studies.
Please note: IntegReview’s requirement is that all investigators (not Project Managers) are required to notify IntegReview when the study has been completed.
Significant Deviation Report Form (revised 02/01/12)
This form is to be used to submit deviations that meet the IntegReview definition of a Significant Deviation. Significant deviations are those that deviate from the approved protocol, informed consent process and affect or can potentially affect the safety of subjects.
Request for Web Board Conference (revised 03/21/08)
This form is to be used to request a private, password-protected conference on our internet Web Board (portal) to receive electronic copies of IRB reviewed/approved study documents. To learn more about the Web Board CLICK HERE.
Experimental Research Subject’s Bill of Rights (Required for California Sites Only) – English Version
A copy of this form should be provided to a subject prior to consenting to participate in any medical experiment.
Experimental Research Subject’s Bill of Rights (Required for California Sites Only) – Spanish Version
A copy of this form should be provided to a subject prior to consenting to participate in any medical experiment.
HIPAA Waiver (revised 11/28/06)
Request for alteration or waiver of research participant’s authorization for use/disclosure of protected health information without patient/subject authorization.
Please note: All HIPAA Waivers should be submitted to our Quality Assurance Department via fax at 512-697-0084 or to submissions@integreview.com.
Employee Recognition Form (revised 03/05/12)
IntegReview’s goal is to exceed customer expectations. In an effort to reward employees for achieving this goal, we extend an opportunity to each customer to recognize someone you feel has exceeded your expectations by providing exceptional customer service. To recognize someone that has met this goal, please complete this form and return by fax to Robert Orozco, Director of Compliance, at 512-697-0085 or via email at rorozco@integreview.com.