Forms and Guidelines for Researchers



Application - 

• All submissions must be through our electronic IRB system (https://eirb.providence.org). If you need assistance please contact us at institutional.review.board@providence.org

     •All study team members must have a user account.  Caregiver accounts are for all employees of Providence St. Joseph Health.  External User accounts are for everyone outside of Providence St. Joseph Health. 

     •All new study submissions require aFacility Approval Form - Facility Approval Form (1-15) 

Conflict of Interest -

  • Conflict of Interest Policy - See Policy and Procedures within Click
  • Conflict of Interest Form -  
    • Study team members for all research conducted at Providence St. Joseph Health must complete electronic disclosure.  
    • For new studies being submitted to the Providence Health Care IRB that are external paper conflict of interest disclosure must be submitted for each study team member - Conflict of Interest Disclosure Form, Version 6-15 

Consent Forms - 

Continuing Review -  

• All submissions must be through our electronic IRB system (https://eirb.providence.org). If you need assistance please contact us at institutional.review.board@providence.org

Deviations/Violations

• All submissions must be through our electronic IRB system (https://eirb.providence.org). If you need assistance please contact us at institutional.review.board@providence.org

Emergency Use Guidelines - 

Exemption Determination - 

• All submissions must be through our electronic IRB system (https://eirb.providence.org). If you need assistance please contact us at institutional.review.board@providence.org

HIPAA Privacy Rule Information and Forms -  

The Health Insurance Portability and Accountability Act (HIPAA) requires researchers to obtain authorization from subjects to use and disclose their protected health information. Refer to the explanation memo and forms below for requirements.

  • Application for Waiver of HIPAA Authorization - Application HIPAA Waiver, Version 11-16  
  • Definition of Protected Health information (PHI) and the 18 Identifiers - See Policy and Procedures
  • HIPAA Authorization Addendum - Part of Informed Consent Template, see above for link

 Modification (Sponsor Waiver or Exceptions) - 

• All submissions must be through our electronic IRB system (https://eirb.providence.org). If you need assistance please contact us at institutional.review.board@providence.org