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A Single Patient Treatment Use Cover Letter Template |
A Single Patient Treatment Use Cover Letter Template outlining appropriateness of the request for the targeted patient. This should be included with the physician request submission for single patient treatment use of an unapproved drug. |
Jun 10, 2015 |
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Anatomic Pathology Services Form |
This form should be completed and submitted if the answer to the Anatomic Pathology question on the BIO page of your HSERA application is answered "YES" |
Sep 07, 2016 |
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Assent Form (Template) |
Assent Form (Template) |
Oct 07, 2012 |
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CHOP/Penn Cooperative Agreement Determination Form |
CHOP/Penn Cooperative Agreement Determination Form |
Feb 20, 2014 |
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Clinical Lab Services Form |
This form should be completed and submitted if the answer to the Clinical Laboratory Services question on the BIO page of your HSERA application is answered "YES" |
Aug 31, 2016 |
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Closure Form |
This is the most recent version of the study closure form. Please see the "How to Submit" page for Closures for additional guidance on closing your completed study with the IRB. |
Nov 13, 2017 |
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Conflict of Interest Disclosure Template Language |
Conflict of Interest Disclosure Template Language |
Mar 01, 2012 |
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Consent Template for Risks of Social Media |
This template should be used in development of Informed Consent forms for projects that involve the use of social media by subjects. Please note this is not the entire consent form -only the section related to social media risks. |
Aug 26, 2016 |
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Continuing Review Form Standard |
This is the most recent version of the standard continuing review form. See the "How to Submit" page for Continuing Review for additional guidance on submitting this form for your study. |
Nov 13, 2017 |
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Continuing Review Form – Single/Central IRB |
This form is part of the continuing review application only when Penn is serving as the Single/Central IRB of Record, for both Penn and External Sites. |
Nov 13, 2017 |
