IRB Forms

All IRB submissions should be provided in electronic WORD form and one hard copy.  Both submissions should be provided to the WMREF office by the 1st of each month.  Electronic submissions should be sent to tjones@wichitamedicalresearch.org.

Study Personnel Changes

Before submitting any study personnel changes please make sure all necessary documentation is included before submission to the WMREF office. The WMREF office will not process the request without all necessary documents. Documents should include 1) An up to date CV for each added person; 2) Certificates of Human Subject Protection training for each added person; 3) and if required by KUSM-W, a signed conflict of interest form.

For all locally developed studies please see WMREF Scientific Review Committee section first.

For Quality Improvement Documents see
Procedure Guide Research Proposal Application Quality Improvement Form

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WMREF Investigator's Summary Form.doc
Size: 39 KB
WMREF IRB Investigator's Summary Form
National Studies.doc
Size: 50 KB
Use this form for instructions on submitting a multi-site sponsored clinical trial to the WMREF IRB for approval.
Consent Checklist.doc
Size: 78 KB
Use this checklist to help develop the consent form for any study, except for a pediatric study.
WMREF IRB Waiver of Consent Form Request.doc
Size: 29 KB
If an investigator intends to request a waiver of consent for his/her research they must submit a WMREF IRB Waiver of Consent Form Request.
WMREF IRB Waiver of Consent Form Request.doc
Size: 29 KB
WMREF IRB Waiver of Documentation of Consent Request
WMREF Checklist for Authorization to Use and Disclose PHI for Research Purposes Rev 040403.doc
Size: 30 KB
Checklist for use and disclose of protected health information for research purposes.
WMREF Checklist for IRB Review of Pediatric Research.doc
Size: 37.5 KB
WMREF IRB Checklist for IRB Review of Pediatric Research
WMREF IRB Checklist for Research Involving Pregnant Women or Fetuses.doc
Size: 45 KB
WMREF IRB Checklist for Research Involving Pregnant Women or Fetuses
WMREF IRB Interim or Final Report Fillable Form.docx
Size: 74.95 KB
Use this fill-able form for all study Interim or Final Reports. Electronic form is all that is necessary to send to the IRB. No hard copy necessary.
WMREF IRB Unanticipated Problem&Adverse Event Form.doc
Size: 36 KB
This form should be used when reporting an unanticipated problem with a research protocol or adverse event occurs.
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