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The Informed Consent Assistant is undergoing maintenance/updating and will be unavailable until further notice. We regret any inconvenience this may cause.

This function is designed to help UCSD and VASDHS researchers create Informed Consent documents that have the content needed to meet federal and University requirements for informing potential study participants.  The recommended text will be presented as a web page and also as a downloadable text file that will need additional information added.

  1. Enter identifying information for the Principal Investigator:
    2. Enter the first name of the Principal Investigator:
    Enter the last name of the Principal Investigator:
    Enter the degree (e.g., M.D., Ph.D., R.N.) of the Principal Investigator:

  2. Enter the project title:

    3. Choose the options that best describe your project:

  3. General Type of Study :
    4. Non-therapeutic
    Therapeutic - Cancer treatment
    Therapeutic - for disorders other than Cancer
  4. Sites where participants will be enrolled (check all that apply):
    5. UCSD facilities
    VA facilities
  5. Sponsorship/administration:
    6. Commercial (e.g., drug or device company) sponsor
    Grant funded
    No sponsor
    Study is administered by Veteran's Medical Research Foundation (VMRF)
  6. Women of Child-bearing potential:
    7. Will be included; there is NO RISK to a fetus from the proposed study
    Will be excluded becauseof known risk to a fetus
    Will be included if known to be not pregnant at enrollment, and willing to use contraception
  7. Other Special Characteristics of this project (check all that apply):
    8. Study will involve access to person-identifiable information derived from medical records, or produced by a healthcare service event e.g., diagnosis or therapy is part of the study. (HIPAA Protected Health Information or PHI)
    Payments will be made to participants
    There is minimal risk of harm (If blood drawing is involved, do NOT check this option).
    -
    		 Involves exposure to radiation
    None
    Small dose (<0.16 cGy)
    Moderate dose (0.16 - 10 cGy)
    Significant dose (> 10 cGy)
(Note: Please wait at least 20 seconds for system to generate consent documents. Do not click the button a second time.)