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Forms

Click on the icon, in the table below, to download the appropriate file.

Name & Description Revised Download
Deputy Agency Director Research Proposal Review/Signature Form
This form is to be signed by the relevant DAD and submitted with all new protocols.
3/19/12
SAMPLE Human Subjects Protocol
Application for approval of a Research Study involving Human Subjects
8/27/02
Authorization for Use and Disclosure of Protected Health Information for Research Purposes
This Authorization for Release of Protected Health Information (PHI) is a required supplement to the Informed Consent Form.
10/30/03
Annual Report Status 3/22/12
Final Report 3/20/02

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