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Barwon Health / Research

(03) 4215 0000

Forms

A

Acknowledgement of Prior HREC Approval Form

Amendment Request (complete via ERM)

Annexure A (Barwon Health/Deakin University agreement)

Annual Safety Report (complete via ERM)

Authorship Record Form Template

B

Barwon Health Self-Audit Tool

C

Clinical Ethics Service Expressions of Interest

Complaint Report (complete via ERM)

Curriculum Vitae (Abbreviated) Template

D

Declaration by Head of Department Form

E

F

Fee Payment Form

Final Report (complete via ERM)

G

H

HREC Radiation Notification Letter

Human Research Ethics Application (HREA)

I

J

K

L

M

Material Transfer Agreement 

Mental Health Drug and Alcohol Services Module

N

Non-Serious Breach/Deviation Report (complete via ERM)

O

P

Participant Information and Consent Forms (PICFs)

Payment form for new applications 

Payment form for amendments

Plain Language Statement (PLS) Template for Surveys

Pre-Clinical Trial Preparation Agreement

Pre-submission Peer Review Proforma

Pre-submission Peer Review Process

Progress Report (complete via ERM)

Project Notification Form (complete via ERM)

Protocol Template

Q

Quality Assurance (QA) VIC Form

R

Research Collaboration Agreement Template 

Research Data Management Plan Checklist

S

Safety Report (complete via ERM)

Serious Breach Report (complete via ERM)

Site Audit Report (complete via ERM)

Site Closure Report (complete via ERM)

Site Notification Form (complete via ERM)

Site Specific Assessment (SSA)

Suspected Breach Report (complete via ERM)

T

U

V

Victorian Specific Module (VSM)

W

Waiver of Consent Checklist

Waiver of Consent Application

X

Y

Z

Last Modified: Wednesday, 21 July 2021