Forms and Templates
Human Research
For more information on submission guidelines and required documentation when submitting a new proposal, please refer to How to apply.
Submitting your study through REGIS.
Ethics Templates • Sample HREA for a Retrospective Medical Record Audit (inc. guidance notes)
Checklists and Cover Letters • Ethics Non-Clinical Trials Submission Checklist (Greater than low risk & Low risk studies) • Clinical Trials Submission Checklist • Ethics Application Cover Letter CRGH • Ethics Resubmission/Extension Request Application Cover Letter
Protocol Templates • Protocol template - Low or Negligible Risk Studies • Protocol template - Low or Negligible Risk Retrospective Medical Record Studies • Protocol template - Establishment of a Database / Clinical Registry Database • Protocol template - Interviews / Focus Groups / Surveys
• Protocol template - Greater than Low Risk (exc. Clinical Trials) • Clinical Trials Protocol Template
Conflicts of interest and managemant plan template • Conflicts of interest and management plan template
Social media plan template • Social media plan template
Data Collection Forms • Data Collection Form for Multiple Source Data Collection • Data Collection Form for Single Source Data Collection
Master Code Sheet • Master Code Sheet
Privacy Form • Privacy Compliance Form (For arguing waiver of consent) - MS Word version here
Research Data Management Plan Template • SLHD RDMP Template - MS Word Version here
Participant Information Sheet and Consent Forms (Including Opt-Out, Verbal Consent Templates and Plain Language Guides
• Master Information for Participants • Master Participant Consent Form • Master Information for Person Responsible • Master Person Responsible Consent Form • Master Information for Participants (Database) • Master Participant Consent Form (Database) • Master Participant Information Statement (Opt-Out), including Opt-Out Form • Master Information for Participants and Consent Forms (Tissue bank/Genetics) • Verbal Consent Form - Option 1 • Verbal Consent Form - Option 2 • Plain Language Guide - Medical Terminology • Plain Language Guide - General
• Master Young Person Information Sheet • Master Information Sheet for Parents & Guardians • Master Consent Form for Young Person (16-17 years) • Master Consent Form for Parents & Guardians • Master Child Information Sheet and Consent Form
Note: Please note that the link for the Child PISCF will direct you to the Sydney Children’s Hospital Network (SCHN) Research Ethics and Governance website. If submitting an application to the SLHD HREC that is recruiting children, please use the SCHN Child PISCF template. No other templates will be accepted by the SLHD HREC.
Note: The Sydney Local Health District HREC – CRGH will review single-site (CRGH-only) research which involves children. However, the HREC is not certified by the NHMRC to undertake review of multi-centre research involving children. Multi-centre research submissions should be referred to a lead HREC which is certified to review research involving children, such as the Sydney Children's Hospitals Network Human Research Ethics Committee or the Sydney Local Health District Ethics Review Committee – Royal Prince Alfred Hospital.
Other templates – Letters of Invitation Expressions of Interest (EOI), Case Study Forms, Advertising/ Recruitment, Telephone Scripts
• Invitation from Medical Officer • Expressions of Interest • Case Study PIS - CF • Advertising/Recruitment templates • Telephone Script template • Telephone Flowchart for recruitment template
• Interview Guide
Biobanking Governance Templates • Biospecimen Data Requisition Application Form • Data Requisition Application Form
Clinical Trial Only Forms
• Master Executive Summary Sheet (For Commercially Sponsored Clinical Trials only)
• Indemnity Standard Form • Indemnity HREC Review Only
• Clinical Trials Protocol Template • DSMB Checklist • DSMB Sample Agenda Template • Victorian Specific Module • Western Australia Specific Module • Master Information for Participants and Consent Form - Self (Interventional)
• Master Information for Participants and Consent Form - Parent and Guardian (Interventional)
• Master Information for Participants and Consent Form - Person Responsible (Interventional) • Master Information for Participants and Consent Form - Self (Health and Social Science) • Master Information for Participants and Consent Form - Parent and Guardian (Health and Social Science) • Master Information for Participants and Consent Form - Person Responsible (Health and Social Science)
• Assent Form for Children Aged 10-13 years old
• Young Person Consent Form (16-17 years)
• Clinical Trials - Form for Withdrawal of Participation
• Consumer Engagement Plan
Research Involving Ionising Radiation • Radiation Safety Report
Research Governance Forms • Site Specific Assessment Form (NSW SSA) • CTN Information Form • Notification of Change in Personnel and Privacy Undertaking Form • Privacy Undertaking Form
• Research Proposal template for Head of Department
• Research Governance Submission Checklist for Researchers
• Consumer Engagement Plan
• Instructions for site-specific PISCF documents - including new PREMS wording (updated 17 September 2024)
Guidance Documents and Forms • Genetic Research Checklist • Guidelines for Compensation • Scientific Review Checklist
Reporting Forms:
Safety Reporting and Monitoring • Significant Safety Issue (SSI) notification form • SUSAR/USADE/URSAE reporting form
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