IRB applications, forms and templates
These forms and tools are provided to assist organizations and study teams that rely on the Geisinger Institutional Review Board (IRB) as the IRB of record.
A specific form may be recommended or required as a supplement to the IRB's electronic applications, while other materials may be a useful reference when partnering with the Geisinger IRB in the protection of human research participants.
iRIS (IRB electronic system)
Protocol Development
- Preparatory to Research Form (PTR)
- Data Protocol Template - No Patient Contact 2020
- Prospective Protocol Template - Patient Contact 2020
Informed Consent
- Research Informed Consent/HIPAA Authorization Template
The GIRB Consent and HIPAA Authorization template is designed to include research consent, HIPAA authorization, parental permission, assent, and consent form a Legally Authorized Representative. The template should be edited to include only the necessary provisions for each study. - Guide to Informed Consent Genetic Testing Language
- Short Form Consent - Arabic
- Short Form Consent - Bulgarian
- Short Form Consent - English
- Short Form Consent - Mandarin-Chinese Simplified
- Short Form Consent - Nepali
- Short Form Consent - Russian
- Short Form Consent - Spanish
- Short Form Consent - Vietnamese
- Consent Addendum - Physically Unable to Sign Consent
- Consent for Continued Participation in COG Research When Participants Turn 18
- Consent for Publication of Medical Imaging, Results, or Clinical Information (Case Report Consent)