Institutional Review Board Application

(570)882-4885

Elaine Wall, IRB coordinator Guthrie Foundation One Guthrie Square Sayre, PA 18840 570-882-4885 or 800-836-0388 570-882-4884 (fax) wall_elaine@guthrie.org

To propose a clinical research study, download and complete the forms below.

At least one month before the IRB meeting applicants must submit two complete applications (including protocol, consent form and Investigator’s Brochure) to the IRB office for initial review. After initial review the applicant will be notified of any necessary revisions. Fourteen revised applications must be submitted to the IRB Office two weeks prior to the IRB meeting. All applications should be submitted to Elaine Wall, IRB coordinator, Guthrie Foundation.

• Application to Conduct Human Subjects Research

The IRB has developed simplified forms to apply for authorization to use existing medical records for research.

• Application to Conduct Research Using Patients’ Records

• Application to Conduct Research Using Quality Assurance Data

After the study has been approved, the investigator must keep the IRB informed of any changes in the study or adverse events. The IRB reviews and monitors each study until it is completed or closed.

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