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Consent Forms

Submitting a consent form for review by the UTHSC IRB? 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 involving a Repository (including exempt broad consent repositories), a separate repository consent form must be developed using 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 use the Consent Disclosure Statement template 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 consent forms, surveys, advertisements, etc.
  • Consent forms for UTHSC IRB-approved studies BEFORE January 21, 2019 do NOT have to be revised.
Mar 17, 2025