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Consent Forms

If you will be submitting a consent form for review by the UTHSC IRB, you must use one of the Microsoft Word templates listed below. The UTHSC IRB Consent Form templates include specific highlighted instructions that you should follow and then delete as you draft your consent form.

Take Note: 

  • For studies that involve a Repository (including exempt broad consent repositories), a separate repository consent form must be developed utilizing the template below.
  • For minimal risk studies in which you are requesting to not use a full-length consent form, you must request an alteration of consent in your application in order to utilize the Consent Disclosure Statement template located below (e.g., with online surveys, exempt benign behavioral interventions, etc.).
  • The Translator's Declaration must be included with the submission of any non-English forms consent forms, surveys, advertisements, etc.
  • Consent forms for studies that were UTHSC IRB-approved BEFORE January 21, 2019 do NOT have to be revised according to the new consent form templates below that satisfy the revised Common Rule.

Last Published: Apr 8, 2019