General IRB Forms & Templates
(e.g., CF, IND/IDE, MRI, PSF, Data use, Short form for Consent)
For more details about PRISM, click here. To access the new PRISM website, click here. |
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Affiliate Investigator Instructions Form of Notice By IND/IDE Holder Grant Application/Protocol Concordance Table IRB Full Board Roster (de-identified) |
Protocol Summary Form (PSF) (Word version for uploading) Reliance Request Form (request to have the NYSPI IRB rely on another IRB which serves as the IRB of Record) Relying Site Information Sheet Request for Use of De-Identified Data Form Short Form for Witness of Consent (to be used for non-English speaking participants or participants who cannot read) |
HIPAA Forms
PLEASE NOTE, additional details and related HIPAA materials are also available on on InSite (the NYSPI intranet). To access, login with your NYSPI email account and password.
Patient Chosen Surrogate (PCS) Forms
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English |
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Spanish |
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PCS Form I |
Protocol Specific Plans
(for more than minimal risk studies)
Internal Monitoring/Quality Assurance Plan
Data Management Plan (REDCap survey)
Monitoring for Good Clinical Practice
(checklists & templates to customize your research)
Consent Process (Informed Consent Process Checklist Template)
Eligibility Criteria (Inclusion/Exclusion Checklist Template)
Regulatory Binder for Clinical Trials with Investigational Drugs (new form with template links)
Regulatory Binder Basics for Non-Clinical Trials (new form with template links)
NYSPI IRB Guidance Documents
Alternative Lay Language for Medical Terms (non-scientific terminology) JRSC Radiation Exposure Risk Language for Consent Form |
Remote Communication Guidelines Research Record Retention Policy (RA-102: Retention, Transfer and Destruction of Research Records) Research Record Scanning Policy (RA-102a: Electronic Storage of All Paper-Based Research Documents) Suicide Risk Management Guidance and |