This page contains downloadable links to all of Midlands IRB’s submission forms. All forms are copyright protected, and are in either Word or fillable PDF format. After completing and saving a form on your computer, you may then upload it to MyConnexus.

Accessing Smart Forms
To access a smart form from the list below, click the “Download” link next to the form name.

If your browser shows a page that says, “Please wait…If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.” Please ignore this message and ignore the instructions to upgrade Adobe Reader. Go to your Downloads folder. You will find the form there and can open with Adobe Reader or Adobe Acrobat. If you cannot find or open the form, please contact us at 913.385.1414.

Questions?
For questions or assistance while using or submitting these forms, please call us at 913.385.1414, or email info@mlirb.com.

PDF Forms

PDF Forms

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FORM: Clinical Use of a Humanitarian Use Device (HUD) (HRP-284) 99.92 KB 44 downloads

For Emergency Use or HUD studies, please submit to Western IRB. Submission forms...
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FORM: Emergency Use of a Device (HRP-281) 79.31 KB 37 downloads

For Emergency Use or HUD studies, please submit to Western IRB. Submission forms...
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FORM: Emergency Use of a Drug or Biologic (HRP-280) 78.62 KB 45 downloads

For Emergency Use or HUD studies, please submit to Western IRB. Submission forms...
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HRP-213 FORM - Canadian Supplement 72.31 KB 44 downloads

For submission of Canadian sites, please ensure you mark “Western IRB” as the...
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HRP-252 site closure form 110.18 KB 221 downloads

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IRB Authorization Agreement 63.14 KB 307 downloads

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PREGNANT PARTNER CF Template 91.85 KB 83 downloads

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    Word Forms

    Word Forms

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    HRP-500 - Informed Consent Template 129.50 KB 147 downloads

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    IRB Authorization Agreement 37.50 KB 65 downloads

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    PREGNANT PARTNER CF Template 64.50 KB 54 downloads

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