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@wmref-ks.org and jmiller@wmref-ks.org 

Study Personnel Changes

Before submitting any study personnel changes please make sure all necessary personnel information 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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Financial Conflict of Interest for Study Team Members.docx
Size: 144.67 KB
Every submission must include a conflict of interest form.
WMREF Investigator's Summary Form.doc
Size: 39.00 KB
WMREF IRB Investigator's Summary Form
WMREF IRB Interim or Final Report Fillable Form-example.docx
Size: 80.66 KB
Use this form on your interim or final report.
National Studies.doc
Size: 50 KB
Use this form for instructions on submitting a national 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 Request for Waiver of Documentation of Informed Consent1.docx
Size: 18.49 KB
Use this form when requesting a Waiver of Documentation of Consent.
WMREF IRB Waiver of Consent Form Request.doc
Size: 29.00 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 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: 37.50 KB
WMREF IRB Checklist for IRB Review of Pediatric Research
WMREF IRB Checklist for Research Involving Pregnant Women or Fetuses.doc
Size: 45.00 KB
WMREF IRB Checklist for Research Involving Pregnant Women or Fetuses
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