Click on each section below to view the corresponding policies, forms, and templates.

Below are some frequently used templates/forms that may be included with you ERA submission.

Protocol Templates

• Main Protocol Template
• Minimal Risk Protocol Template
• Chart Review Protocol Template

Informed Consent Templates

• Main Informed Consent Template
• Minimal Risk Informed Consent Template
• Informed Consent Form for Emergency Use
• Short Form Consent Template
• Survey Interview and Focus Group Consent Template
• Survey and PHI Data Collection Consent Template
• Prospective Chart Review Consent Template

HIPAA Form

• English HIPAA Authorization Form
• Spanish HIPAA Authorization Form
• Spanish Translation Certificate

Humanitarian Use Device (HUD) Forms

• Application for a HUD 220
• Continuing Review Progress Report or Final Report for a HUD 221
• Modification of an HUD 222

Research Personnel Signature Form

Research Personnel not affiliated with Temple University, Temple University Health System, or Shriner's Hospital for Children should provide their authorization of participation by completing the information in the Research Personnel Signature Form. Include a scanned copy of this document with your IRB submission in ERA.