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HSRC Forms
Follow these steps to select the correct forms.

   Step 1: Use this form to determine which type of research review to request.
                Submit completed form with your application to the Center for Research.
               •  Checklist for Type of Research Review
 
   Step 2: Complete Appropriate Application Form.
               •  Application A: Exempt Review Request
               •  Application B: Expedited or Full Review Request
               •  Application C: TET or FPD Review Request
               •  Application D: In-Class Only Project Review Request 
 
   Step 3: Complete Appropriate Appendices indicated in the Application form (Step 2).
               Guidance Documents
               •  HIPPA Rules
               •  HIPPA Identifiers
               •  Guidance for Consent – Exempt
               •  Consent templates
                -  Exempt
                -  Expedited or Full
 
               Appendices

               •  Appendix A: Agency Permission
               •  Appendix B: HIPPA Waiver
               •  Appendix C: Deception
               •  Appendix D1: Waiver or Alteration of Consent Process
               •  Appendix D2: Waiver of Consent Documentation
               •  Appendix E: Decisionally Impaired
               •  Appendix F: Pregnant Women & Neonates
               •  Appendix G: Non-English Speaking Participants
               •  Appendix H: Children
 
   Step 4: Obtain required signatures and approvals.
 
   Step 5: Follow instructions on first page of Application for bundling and naming documents.
 
   Step 6: Submit Completed Application with all documents to CenterForResearch@madonna.edu.

HSRC approval expires after one year. Use this form to reapply and extend approval.
•  Application for Renewal of HSRC approval

Research Intregrity and Misconduct
•  Report of Research Misconduct



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