Forms, Templates & Policies

Researchers are required to obtain permission from the Research Administration Department before starting research projects at OSF HealthCare. Use the forms, templates and guides listed below to apply for permission to conduct research projects at OSF HealthCare.

Start with the Research Application Form, which is required for all research projects, and follow the prompts within the form to determine what other supplemental forms and templates need to be completed for your project.

Once all necessary application documents are completed, email them to osf.clinicalresearch@osfhealthcare.org.

Forms

• Research Application (DOCX) - Required form for research projects
• Peoria IRB Determination of Human Subjects Research (DOCX) - Required form for not research/human subjects research determinations
• Humanitarian Use Device (HUD) Application (DOCX) - Required form for non-investigational HUD use
• OSF Change of Research Form - Required form for specified changes of research
• PHI Disclosure for Research Standard Accounting (DOCX) - Supplemental form as needed
• PHI Disclosure for Research Alternative Accounting (DOCX) - Supplemental form as needed
• IND Applicability (DOCX) - Supplemental form as needed
• IDE Applicability (DOCX) - Supplemental form as needed
• CRBO Services Worksheet (DOCX)  - Supplemental as needed
• CRBO Epic Research Access Request (DOCX) - Supplemental as needed
• CRBO Research Participant Substitute W9 (DOC) - Supplemental as needed
• Non-Sponsored Conflict of Interest Disclosure Form (NSCOIDF)
• Part I: Significant Financial Interest Disclosure Form
• Part II: Significant Financial Interest Disclosure Form
• REDCap Account Request Form – Request access after training
• REDCap Yearly Project Access Form – Annual project status update
• REDCap Project Closure Form – Close out completed projects
  
  

Templates

• Informed Consent - OSF Language (DOCX)
• HIPAA Authorization for Research (DOCX)
• Informed Consent & HIPAA Authorization for Expanded Access (DOCX) 
• Data Use Agreement (DOC) 
• Universal Biological Material Transfer Agreement (UBMTA) Implementing Letter - 3 Party (DOC) 
• Universal Biological Material Transfer Agreement (UBMTA) Implementing Letter - 3 Party OSF & UICOMP (DOC) 
• Universal Biological Material Transfer Agreement (UBMTA) Implementing Letter - 2 Party (DOC) 
• Premises Use and Indemnification Agreement (DOCX) 
• Business Associate Addendum (DOCX)
  
  

Policies

• Ministry Research Administration Project Permission
• Establishment and Authority of OSF Human Subject Protection Program -HSPP
• Research Project Personnel Education Requirements
• Informed Consent for Research
• Research Billing
• Registration of Clinical Trials
• Maintenance of a Federalwide Assurance -FWA- for Research Subject to U-S- Department of Health and Human Services -HHS- Regulations
• Scientific Research Data Policy
• FERPA Regulations in Research
• Certificate of Confidentiality in Research
• Humanitarian Use Device (HUD): Non-Investigational
• Utilization of External Institutional Biosafety Committee (IBC) Services
• Retention and Destruction of Documents

Guides

• Guidelines for Conducting Human Subject Research During COVID-19 Precautions (PDF)
• Peoria IRB COVID-19 FAQs (PDF)
• Writing a Research Protocol (PDF)
• Humanitarian Use Device (HUD) Decision Tree (PDF)
• HIPAA: De-Identification of Protected Health Information (PDF) 
• HIPAA: Accounting of Disclosures (PDF)
• HIPAA: Business Associate Agreements (PDF)
• CITI Training: Instructions (PDF)
• CITI Training: Frequently Asked Questions (PDF)
• Gift Cards as Research Subject Payment (PDF) 
• Gift Card Tracking Log Template (XLSX)