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Research Ethics Review Board Forms

Research Ethics Review Board

Forms

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  • About
  • SOPS
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To download the SOP files, simply click on the links below.

Downloadable Forms

Application Form for Protocol Review (Form 6A)
Child Assent Form (Form 10)
Request to Waive Written and Verbal Informed Consent (Form 11)
Resubmitted Study Protocol (Form 12)
Withdrawal of Protocal Submission Application (Form 13)
Review Exemption Application Form (Form 16)
Certificate of Exemption from Review (Form 17)
Serious Adverse Event Report Form (Form 18)
Protocol Amendment Review (Form 19)
Progress Report (Form 20)
Final Report (Form 23)
Deviation Non-Compliance Violation Report (Form 24)
Request Query Record (Form 25)
Site Visit Report (Form 26)
Study Termination (Form 27)
Action Letter to Continuing Review Application Final Report Study Protocol Non-Compliance Report SAE Report Early Study Termination Report Site Visit (Form 28)
Confidentiality Agreement Form for Non-Members Requesting to Access CGHMC RERB Documents (Form 31)
Patient Information Sheet and ICF English Template (Form 32A)
Patient Information Sheet and ICF Tagalog Template (Form 32B)

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Address: 286 Blumentritt St., Sta. Cruz, Manila 1014 Metro Manila

Phone: (02) 8711 4141 

Email: info@cghmc.com.ph

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