Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • November 28th, 2017
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • August 17th, 2020
The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • January 4th, 2019
Unaffiliated Investigator Agreement Please Note: This document is valid for one year from the date of IRB approval.Unaffiliated Investigator Agreement • January 17th, 2024
____Access to Baystate patients’ or research participants’ Personal Health Information ____Access to Baystate employees’ personal identifiers
MISSISSIPPI STATE UNIVERSITY HUMAN RESEARCH PROTECTION PROGRAMUnaffiliated Investigator Agreement • July 8th, 2019
The Unaffiliated Investigator Agreement is to be executed after the HRPP has agreed to serve as the IRB of Record for an Unaffiliated Investigator.
Unaffiliated Investigator Agreement Information SheetUnaffiliated Investigator Agreement • January 16th, 2024
This agreement is intended for investigators who have no affiliation with Baystate Health (i.e., are not employed, do not have a contract or sub-contract, are not covered under a license agreement, etc.) but wish to collaborate on a research project at Baystate Health that requires access to any of the following:
Unaffiliated Investigator Agreement and Privacy Practices Agreement for Non- SCDMH EmployeesUnaffiliated Investigator Agreement • February 11th, 2020
All Principal Investigators who are not employees of the South Carolina Department of Mental Health and are seeking approval to conduct research under the authority of the SCDMH Institutional Review Board (IRB) are required to sign an “Unaffiliated Investigator Agreement and Privacy Practices Acknowledgment for Non-SCDMH Employees: Signature Page.”
UNAFFILIATED INVESTIGATOR AGREEMENTUnaffiliated Investigator Agreement • September 5th, 2019
An independent investigator not employed at UT Tyler may engage in research under the UT Tyler FWA under the following conditions:
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • April 4th, 2022
Name of Principal Investigator of the study: Name of Institution Providing IRB Oversight: Trinity Health Of New England OHRP Federalwide Assurance Number: 00020300
IRB Appendix V - Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • November 5th, 2015
Unaffiliated Investigator Agreement (UIA) Checklist Do not submit for approval until all items are completed and rows are initialed.Unaffiliated Investigator Agreement • January 8th, 2024
Onsite and Offsite Baystate Health Policy --- Module information provided by the Healthcare Education Office Completed the current Elsevier online orientation training required of all BH employees. Attached a certificate or screenshot of the completed BH employee trainings to this document.
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • August 17th, 2020
The above-named Unaffiliated Investigator has reviewed The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research, the U.S. Department of Health and Human Services regulations for the protection of human subjects at 45 CFR 46; and the Spelman College IRB policies.
ContractUnaffiliated Investigator Agreement • December 29th, 2020
UNAFFILIATED INVESTIGATOR AGREEMENT This form should be completed and signed by key personnel who are not volunteers approved through the School of Medicine, students or employees of UVa.
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • June 1st, 2022
The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.
Unaffiliated Investigator Agreement Information SheetUnaffiliated Investigator Agreement • December 22nd, 2023
• This agreement is intended for investigators who have no affiliation with Baystate Health (i.e., are not employed, do not have a contract or sub-contract, etc.) but wish to collaborate on a research project at Baystate Health that requires access to any of the following:
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • August 24th, 2020
The above-named Unaffiliated Investigator has reviewed the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; the U.S. Department of Health and Human Services (DHHS) regulations for the protection of human subjects at 45 CFR 46, the Assurance referenced above, and the relevant institutional policies and procedures for the protection of human subjects.
UNAFFILIATED INVESTIGATOR AGREEMENTUnaffiliated Investigator Agreement • October 12th, 2015
An independent investigator not employed at UT Tyler may engage in research under the UT Tyler FWA under the following conditions:
Unaffiliated Investigator Agreement and Privacy Practices Agreement for Non- SCDMH Employees: Signature Page *Unaffiliated Investigator Agreement • November 28th, 2020
Non-DMH employees must have a DMH employee, approved by the facility in which the project is being conducted, who has agreed to oversee the conduct of this project. Please list the following:
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • December 12th, 2022
Name of Principal Investigator of the study: Name of Institution Providing IRB Oversight: Trinity Health Of New England OHRP Federal-wide Assurance Number: 00020300
Unaffiliated Investigator AgreementUnaffiliated Investigator Agreement • January 9th, 2020
UNAFFILIATED INVESTIGATOR AGREEMENT This form should be completed and signed by key personnel who are not volunteers approved through the School of Medicine, students or employees of UVA.Unaffiliated Investigator Agreement • January 31st, 2023
Has completed the CITI Online tutorial for investigators available on the IRB-HSR website at https://research.virginia.edu/irb-hsr/citi-training , or equivalent training program from another institution (documentation of training completion acceptable to the home institution must be attached);
