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Manual for Research Investigators
Forms

 

Click on the links below to access the forms in .pdf format.

Protocol Application Form
Model Consent Form
Expedited Review Criteria and Form

Exempt Research Criteria and Form
Continuing Review Form
Completion/Termination Form
Children's Model Assent Form
Financial Disclosure Form
Application for Surrogate Consent

Authorization Template for HIPAA

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Manual Appendices
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© 2007 Crozer-Keystone Health System.  Your use of this Web site means that you have read and accept our terms of use with disclaimer. Please read our privacy policy.  The Web site for Crozer-Keystone Health System, its content, and programs are provided for informational and educational purposes only and are not intended as medical advice nor are they intended to create a physician-patient or provider-patient relationship.  This information should not substitute for a visit or consultation with a physician or other health care provider.  The views or opinions expressed in the resources provided on this Web site do not necessarily reflect those of Crozer-Keystone Health System or its staff.