Jewish Home Lifecare :: Caring as individual as you

Submission Instructions and Forms

Questions?
If you have questions or need clarification, you may contact Jessica Yoos, the IRB Secretary, at 212-870-4849 or email irb@jewishhome.org

Submission Instructions and Forms

Note: Do NOT use versions of these documents that you have stored on your computer, as updates are possible. The date of the latest version of each will appear after the document title. If you do not see the latest version date in the footer of the document, make sure to clear your browser cache to avoid your browser reverting back to a previous version.

NEW SUBMISSIONS

Instructions

  • For JHL research staff or researchers who have previously submitted to our IRB (Updated 11/2/11)
  • For external researchers or researchers who have NOT previously submitted to our IRB (Updated 1/12/12)
  • For non-research JHL staff or researchers proposing a combined research/PI project (Updated 11/2/11)

Forms

Application for New Proposals (Updated 1/30/12)

Protocol Summary (Updated 9/16/11) - Must be submitted in original MS Word Format

Consent Forms

We prefer the use of consent forms combining informed and HIPAA consents. If you would like to use separate informed consent and HIPAA forms, please contact the IRB Secretary. Consent forms must be submitted in their original MS Word Format.

Adult Subject (Updated 6/23/11)

Incapacitated Adult Subject- For use with subjects who cannot give consent. (Updated 6/23/11)

Consent Waivers

Request for Waiver of Informed Consent (Updated 10/20/10)

Request for Waiver of Signed Consent – For use when the participant/surrogate cannot sign the consent form (Updated 10/20/10)

Request for Waiver or Alteration of Authorization to Release PHI for Research Purposes – For use when accessing protected health information (Updated 10/20/10)

Requirements for External Researchers

Liaison and Pre-Recruitment Forms- click here

AMENDMENT SUBMISSIONS

If you are applying for an amendment, you must submit a memo (in MS Word format) detailing the changes in each previously approved document. Changes should be detailed in this manner:

Document (e.g. Protocol Summary, consent, etc.)

1. Page #, Item #, Item Section (if applicable): Description of the change you are requesting

All documents with changes should be submitted with tracked changes in order to easily see the modifications made.

EXTENSIONS/TERMINATIONS

Annual Update Progress Report Form (Updated 9/16/11)- This form will guide you through the process of applying for an extension of IRB approval, and if applicable, through termination.

Adverse Event Form (Updated 6/23/11)

Key Personnel Form (Updated 9/16/11)- Only submit this form when you have changes to Key Personnel within the approval year. If you are submitting an Annual Update Progress Report/Termination Form you do not need to submit this form