skip to page content
Enter your search text
Button to start search
»
Open Advanced Search
Home
Veteran Services
Business
About VA
Media Room
Locations
Contact Us
Related Links
Brooklyn Campus of the VA New York Harbor Healthcare System
Useful Links
Brooklyn Campus of the VA New York Harbor Healthcare System Home
Manhattan Campus
St. Albans Campus
Returning Combat Veterans
VA Healthcare Advantage FM Radio
VA Insights Cable TV Program
Calendar
Emergency Response & Information
Services
Patient Information
Visitor Information
News & Events
Contact Us
Volunteer or Give
Careers
About this Facility
Site Index
Site Search
Research and Development Program
GUIDE TO THE INVESTIGATOR: INITIAL STUDY PACKAGE
•
PI IRB Initial Checklist
•
Data Transfer Agreement
•
Authorization to Transport and Utilize VA Sensitive Information Outside Protected Environments
•
Tissue Banking Requirements
•
Tissue Banking Form 10-0436
•
Funding Source Codes
•
Abstract Guidelines
•
Guidance on Research Studies Using Investigational Drugs
•
Investigational Drug Management Fees
•
Codes & Instructions for Investigator Data Sheet
•
Request to Review Research Proposal/Project
•
Request to Review Research Proposal/Project Instructions
•
Pharmacy Support Form
•
Budget Form: Non-VA Research Funding
•
Form 10-9012, Investigational Drug Information Record
•
Application for Biospecimen Storage at a For-Profit Institution (VA Form 10-0474)
CREDENTIALING
•
Education Verification Form
•
pg 18 - Investigator Data
•
Research Staff Credentialing Checklist
•
Scope of Practice
•
Research Financial Conflict of Interest Statement
HUMAN STUDIES FORMS
•
Investigator's Manual: Human Subjects
•
Informed Consent Instructions
•
Informed Consent Template & Instructions (10/09)
•
Sample Consent Form
•
10-1086 Informed Consent Form 10/1/09 (blank template)
•
Human Studies Questionnaire (HSQ)
•
Protocol Amendment IRB Submission Form
•
Human Subject Enrollment Log
•
Certification of Compliance with HIPAA Privacy Rule Requirements for Use of PHI Preparatory To Research
•
IRB Report of Study Closure
ANIMAL STUDIES/IACUC FORMS
•
Animal Component of Research Protocol (ACORP)
•
ACORP Appendix 1 - NON-VA Animal Facility
•
ACORP Appendix 2 - Antibody Production
•
ACORP Appendix 3 - Test Substances
•
ACORP Appendix 4 - Antemortem Specimen Collection
•
ACORP Appendix 5 - Surgery
•
ACORP Appendix 6 - Special Husbandry & Procedures
•
ACORP Appendix 7 - Request to Use Pt Care Proc. Areas
•
ACORP Appendix 8 - Request to Use Explosive Agents
•
ACORP Appendix 9 - Additional Local Information
•
IACUC Report of Study Closure
RESEARCH SAFETY SUBCOMMITTEE FORMS
•
Research Protocol Safety Survey Form
ANNUAL REVIEW IRB FORMS: HUMAN STUDIES
•
PI IRB Continuing Review Checklist
•
Request for Continued Approval of Human Use Form
ADDITIONAL R&D FORMS
•
Adverse Event Report
•
Addition of Research Personnel
•
Application for Case Report Review
•
Certification of Exemption
•
Consent Form Irregularities - Deficiencies
•
LMS Employee Data Form
•
Request for Expedited Review
•
Request for Study Closure
•
Report of Clinical Research Monitoring Visit
COMMITTEE FORMS
•
RD Initial Review Checklist
•
RD Continuing Review Checklist
Related Links
•
R&D Home
•
VA Research Programs
Page Content Provider: Sandra Diaz
Reviewed/Updated Date: January 28, 2010