Forms
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) or both.
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If you have any questions about these forms, please cpan class="style9"> Form #
Initial Forms:
Click here for additional information
HAC 100 |
Clinical Study Document Cover Sheet | |
8/08/2008 | |
HAC 101 |
Protocol Information | |
8/08/2008 | |
HAC 101C |
Sub-Investigator Continuation Sheet | |
4/13/2006 | |
HAC 101EMG |
Emergency Exemption from Prospective HAC Approval | |
Hummg src="images/RTFicon_small.gif" alt="link to .doc form" width="17" height="17" border="0" /> | 1/28/2005 |
| 7/9/2007 |
| |||
HAC 104 |
Research Medication Data Sheet | |
12/28/2007 | |
HAC 105 |
Investigational Device Information Sheet | |
12/28/2007 | |
HAC 112P |
Request for Sponsor/CRO |
|
1/28/2005 | |
ITSS |
Human Research-Request for Protected Space | |
OHRP | CRRI/OHRP Internal Form olor="#EBEBF1"> |
|
3/21/2008 |
Ongoing Forms:
Form #
Version Date |
|||
HAC 110URE/SAE |
Unexpected and Related Adverse Event (URE)/Serious Adverse Event (SAE) |
|
6/23/2008 |
HAC 113 |
Amendment Submission Form | |
8/08/2008 |
HAC 120PDV |
Protocol Deviation/Violation Report Form | |
7/9/2007 |
OHRP |
Research Self Assessment | |
7/09/2007 |
Termination Forms:
Click here for additional information
Form # |
Description
|
Links
|
Version Date |
HAC 111 |
Final Report |
|
1/28/2005 |
HAC Members:
|
Description
|
Links | Version Date |
||||
| 1 | HAC Reviewers Checklist | |
4/29/2008 | |||
| 2 | HAC Checklist for Exempt Review | |
3 | HAC Checklist for Expedited Review | |
12/17/2007 |
| 4 | HAC Checklist for Amendments | |
1/22/2008 | |||
| 5 | Checklist for Vunerable Populations | |
12/31/2007 | |||
| 6 | ICD Elements of Disclosure | |
9/07/2008 | |||
| 12/31/2007 |
Miscellaneou
Checklist of Criteria to Waive or Alter the Requirement to Obtain Informed Consent
Form # |
Description
|
Links
| 1
New Research Faculty Transition Form |
|
2 |
Training Requirements Checklist | |
||
3 |
Individual Investigator Agreement (IIA) | Version
15-Oct-2008
, revised 12/18/07, 1/10/08, 3/4/08
Revised
October 15, 2008.
der="0" /> |
hac@mcg.edu.
Human Assurance Committee
OHRP-HAC, Pavilion III, CJ-2103
1474 Laney Walker Blvd.
Augusta, GA 30912
706-721-3110 phone
706-721-1482 phone
706-721-1479 fax
Angela Randazzo, hac@mcg.edu
trong>© 2008
All rights reserved.
