Consents and Forms

Below are various consents and worksheets as provided by the Clinical Research Center. To access any of the documents, simply click on the link and download the appropriate file.

Consents

• Authorization for Medical Case Study and Publication
• Behavioral Research Informed Consent Template
• Informed Consent and HIPAA Authorization Form
• Medical Research Informed Consent Template
• Minimal Risk ICF for Research
• Notification of Withdrawal of Consent
• Short Form Written Consent
• Waiver of Informed Consent

Forms

• Exempt Categories (New Common Rule)
• Expedited Categories (New Common Rule)
• Instructions for Residents on IRB Request
• Quality Improvement vs Research Determination Checklist

Worksheets

• Case Report/Case Series - Investigator/Author
• Review Preparatory to Research Form
• Study Planning and Feasibility

If you are experiencing issues accessing any of the above files, please call (559) 450-7790 or email clinical.research@samc.com.