Skip to content
Human Research Office
Search UMMC
Mobile Navigation
UMMC Navigation
⌂
UMMC Home
Education
Academic Affairs
School of Dentistry
School of Graduate Studies
School of Health Related Professions
School of Medicine
School of Nursing
School of Pharmacy
School of Population Health
Continuing Health Professional Education
Faculty Directory
For Faculty
For Students
Prospective Students
UMMC Online
Residents and Fellows
Rowland Medical Library
UMMC Bookstore
Health Care
Health Care Home
All UMMC Services
Children's of Mississippi
Find a Doctor
Find a Location
Pay a Bill
UMMC Pricing
Patient and Visitor Information
Referring Physicians
Research
Research Home
Centers and Institutes
Offices
Resources
Participate in Clinical Trials
About
A-Z Site Index
About Us
Accreditations
History
Jobs at UMMC
Leadership
Mission and Vision
Give
MyChart
Appointments
Human Research Office
Research Offices
Office of Research and Sponsored Programs / Pre-Award
Office of Research and Sponsored Programs / Post-Award
Human Research Office (IRB)
Office of Animal Welfare (IACUC)
Office of Clinical Trials
Institutional Biosafety Committee
Intellectual Property and Commercialization Office
Radiation Safety Office
Contact Us
For more information
Centers and Institutes
Overview
Institutes
Institutes Overview
Cancer Center and Research Institute
Myrlie Evers-Williams Institute for the Elimination of Health Disparities
UMMC Neuro Institute
Centers
Centers Overview
Basic and Advanced Resuscitation Training Center
Cardiovascular-Renal Research Center
Center for the Advancement of Youth
Center for Bioethics and Medical Humanities
Center for Comparative Research
Center for Computational Medicine
Center of Excellence in Developmental Outcomes Research (CEDOR)
Center for Gender and Sexual Minority Health
Center for Genetic Medicine
Center for Informatics and Analytics
Center for Innovation and Discovery in Addictions
Center for Integrative Health
Center for Tobacco Treatment, Education and Research (ACT)
Children's of Mississippi Center for Cancer and Blood Disorders
Children's Safe Center
Memory Impairment and Neurodegenerative Dementia (MIND Center)
Mississippi Center for Heart Research (MCHR)
Mississippi Center for Obesity Research (MCOR)
Mississippi Center of Excellence in Perinatal Research
Mississippi Clinical Research and Trials Center
Simulation and Interprofessional Education Center
UMMC Biobank
UMMC Center for Telehealth
Women's Health Research Center
Clinical Centers
Clinical Centers Overview
Center for Maternal and Fetal Care
Center for Neuromuscular Disorders
Center for Sialendoscopy and Salivary Gland Disorders
Children's Heart Center
Cleft and Craniofacial Center
Clinical Epilepsy Center
Face and Skin Center
Gearhart Clinical Skills Center
Mississippi Burn Center
Mississippi Center for Emergency Services
University Heart Center
Voice and Swallowing Center
External Designation Centers
External Designation Center Overview
Cardiorenal and Metabolic Diseases Research Center
Center for Psychiatric Neuroscience
Center for Telehealth
Comprehensive Stroke Center
Cystic Fibrosis Care Center (Adult)
Cystic Fibrosis Center (Pediatric)
Mississippi AIDS Education Training Center
Mississippi Center for Clinical and Translational Research
Mississippi Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence
Mississippi Poison Control Center
Core Facilities
Overview
Biochemical Assay Core/Analytical and Assay Core
Analytical Ultracentrifuge Facility
Animal Behavior Core
Biomedical Materials Science Labs
Cancer Animal Imaging Core
Cancer Data Science Core
Cancer Drug Discovery Core
Flow Cytometry Core
Histology Core
Imaging Core
Mass Spectrometry Core
Molecular and Genomics Core
Postmortem Brain Core
Shared Instrumentation Core
Transgenic Core
UMMC Biobank
Contact Us
For more information
Resources
Resources Welcome
How to Participate in Clinical Trials and Research
Find a Clinical Trial
Research Fast Facts
Research Enhancement Programs
Rowland Medical Library
Mississippi Rare Disease Registry
Research Job Opportunities
Training Opportunities
Funding Opportunities
ListServ
Contact Us
For more information
Research
Research Offices
Human Research Office
Human Research Office
Human Research Office Home
About Human Research Office
Contact Human Research Office
Single IRB Review
Overview
Reliance Request Form
Request to Act as Single IRB Form
Human Research Office Fast Facts
Policies and Guidance
Resources
Resources Home
Changes to the Common Rule
COVID-19 FAQs
Submissions and Institutional Review Board
Institutional Review Board Home
IRB Submissions and Meeting Dates
Cayuse IRB Submission System - Intranet
Templates, Forms and Samples
Training and Education
IRB Training Request Form
Required CITI Training
CITI Training - Optional Courses and Modules
Main Content
Templates, Forms and Samples
Templates
Protocol template
(Revised December 2021)
Consent template
(Revised October 2022)
Checklist
Lay terminology
Cover letter or information letter (for use with a waiver of documentation of informed consent)
Child assent
(ages 9-12)
Parental permission template
ICF Addendum for Specimen storage and use
Specimen storage and use
(PDF)
HUD Consent Template
IRB completeness review checklist
Forms
Drug/device management plan
Device - Claim of exemption
Drug - Claim of exemption
Human research self-certification form
Samples
How to write a consent document at the 8th-grade level?
Example: Informed consent document -
"Before"
Example:
"After"
Questionnaire to check participant comprehension