IRB Forms

The forms can be found in IRBNet under the Forms and Templates tab. For information on how to submit to the IRB, please visit the IRB Process Page. 

• Adverse Event / Unanticipated Problem Report (.docx)
• Amendment Application (.docx)
• Closure Application (.docx)
• Consent Form
• Continuing Review Application
• Deviation Report (.docx)
• FMRI
• HIPAA
• Human Subjects Research Determination Form (.docx)
• Initial Application
• Participant Payment Forms & Guidance
• Photo Consent Form
• Prior to IRB Account Authorization Form (.docx)

Consent Form

• Consent Form Template (.docx)
• Consent Form Completion Instructions (PDF)

Consent Form Examples:

• Parental Consent (PDF)
• Assent - 13 to 17 years old (PDF)
• Assent - 12 years old and under (PDF)

Additional Waiver of Consent resources are available on the Investigator Support page under UMD-Specific Resources.

Continuing Review Application 

• Continuing Review Application Form (.docx)
• Continuing Review Application Form for Full Board Projects (.docx)

FMRI

Please use the IRB Application Forms available on IRBNet, if your research involves the use of FMRI. Please email the IRB Office with any questions.

HIPAA

• HIPAA: University of Maryland Policy
• University Compliance with HIPAA
• Are You Subject to HIPAA? Flowchart (PDF)
• Federal: Health Insurance Portability and Accountability Act (HIPAA)
• List of HIPAA Identifiers

Initial Application

Initial Application Part 1: 

This is a Smart Form and is completed online. Part 1 can be found by clicking Designer, then clicking Start a Wizard and then selecting Initial Application Part 1 from the drop down box.

Initial Application Part 2:

• Initial Application Part 2 (.docx)
• Initial Application Part 2 Instructions (PDF)