IRB Consultation Request Form

Please complete form
Requester Name:*
First Last
Contact information for person completing form:
Email Address:*
Telephone Number:*
Additional Attendees:
First Name Last Name
If this consultation involves discussion of a project that is currently open in myIRB or currently under review, please provide the IRB ID# and PI.
IRB # PI
Please indicate any topic areas that you would like to cover in the consultation.
- Community Based Participatory Research
- Research involving Deception
- International Research
- Multisite/Cooperative Research
- COVID 19 Related Research
- Drug or Medical Device Related Research
- Repository Creation
- electronic Informed Consent
- Non-WU Study Team Members
- Telehealth/Remote Research
- Research involving Mobile Applications, Stand-alone Software, Machine Learning Algorithms
- Return of Research Results
- Vulnerable Populations
- Recruitment Methods
- Research involving Health Care Records
- Research involving Student Records
- Use of Single IRBs
- Data Security in Storage and Transmission
- Informed Consent
- Institutional Certifications for dbGaP or other repositories
In order to match you to the right HRPO staff member, please provide a description of what you would like to discuss with HRPO staff.*
At this time, all IRB consultations are being scheduled remotely using Zoom.
Timeframe for consultation meeting?

NOTE: HRPO staff try to schedule consultations within 5 business days; however, if a different timeframe is needed, please let us know. Please indicate if there are scheduling restrictions that our office should work around (Clinic duties, teaching obligations, etc.). Consultations are typically scheduled for 1 hour, if you believe additional time will be needed, please let us know.
THANK YOU!

First Name	Last Name

IRB Consultation Request Form

Contact information for person completing form: