Service Request Form

• OCR Clinical Services Request Form

Request for OCR SharePoint Access Form

• OCR SharePoint Access Request Form for the PI Protocol eLibrary

IRB Forms

• Required Consent Excerpts - Participant Stipend Language When Paying Via USF Health ClinCard
• Required Consent Excerpts - USF Subject Injury Language
• USF eIRB Sign On
  • USF IRB Consent Forms 
• WIRBNet Site
• Quorum Review IRB
  • USF Quorum Review Institution Cover Page
• Schulman/Advarra IRB

Conflict of Interest Disclosure

If there is a financial conflict of interest with the research, investigators must complete and submit the disclosure via the electronic COI module within ARC. The Management Plan must be in place prior to the review and approval by any of the USF relied-upon IRBs.

• Research Conflict of Interest Disclosure ARC Module

USFPG Patient Registration Form

This form should be completed for all study participants who do not already have a USFPG medical record number. Completed form is submitted to Ellen Pastizzo epastizzo@health.usf.edu and cc to Billie Lee blee@health.usf.edu

• USFPG Patient Registration Form Recruitment & Advertising Materials in USF Health Clinic Waiting Areas

UMSA Research Account

This form is to request an UMSA Research Account. Please work with your Project Liaison when completing this form.

• UMSA Research Account Request Form

Internal Form or Proposal Authorization Form

• Internal Form
• Internal Form ID request

The documents required for full execution of the Internal Form are different depending upon the type of research project and the funding source.

For clinical trials (drug and device trials) that are industry funded or funded by another non-Federal source, attach the following required documents to the Internal Form using the "File Attachments" functionality built into the electronic Internal Form system:

• Final Budget
• Financial Management Plan from eCOI Module in ARC, if there is a financial COI with the research
• Reporting Outside Activities Database (ROAD), if there is outside activity that is or could be preceived as conflicting with the research
• Nepotism Memo, if there are any relatives or related persons participating in the research

For Federally funded clinical research proposals, attach the following documents to the Internal Form using the "File Attachments" functionality built into the electronic Internal Form system prior to submitting the proposal to the sponsor:

• Research Proposal, Protocol, Abstract or other scientific document that describes the project
• Budget to include:
  • Grant Proposal budget justification page showing PI and key personnel name, percent effort, and salary allocated to the study
  • Additional budget elements such as patient care costs, etc.
• Financial Management Plan from eCOI Module in ARC, if applicable
• Reporting Outside Activities Database (ROAD), if there is outside activity that is or could be preceived as conflicting with the research
• Nepotism Memo, if there are any relatives or related persons participating in the research
• Completed Grant Budget Release form, signed by the PI

Questions? Contact us!