Cancer Committee – Templates and Forms
Initial Submission Forms
If applicable to your study, the completed forms should be sent to HREBA for review.
- HREBA Billing Information Form (Industry sponsored studies only)
- If your study is currently not in IRISS, complete the form and mail it to HREBA (address below).
- If your study is in IRISS, upload the completed Billing Information Form to the “REB Service(s) Fee” section. Once the initial ethics certificate has been issued an invoice will be sent to the e-mail indicated on the form.
Consent Form Templates and Guidance
This information can be found here.
Study Renewal and Completion Forms
Use the forms below for a study that is currently not in IRISS. The completed forms and accompanying documents should be mailed to HREBA for review. (address below)
- Renewal for Approved Studies Form (2017.08.30)
- Site Closure – Study Completion Form
- Request for Study Reactivation Form
If your study is in IRISS, complete your renewals or requests in the system; do not send paper documents to HREBA.
For criteria and links to forms, please go to this page. (Updated August 2017)
Modification Forms (Studies Not in IRISS)
Use the forms below to make modifications to a study that is currently not in IRISS. The completed forms & accompanying documents should be mailed to HREBA for review. (address below)
- Protocol Amendment Form
- Change of Principal Investigator Form
- Co-Investigator Form
- Change of Study Staff Form
- Investigator’s Brochure/Product Monograph Submission Form
If your study is in IRISS, all changes to the study should be done by “Creating a Modification” in the system.
Investigator Initiated Research Resources
- Protocol Signature Sheet
- Subject Enrolment Log
- Study Delegation Log and Signature Sheet
- Prohibited Medication List Template
- Concomitant Medication Sheet
HREBA – Cancer Committee
1500-10104 103 Ave NW
Edmonton, AB T5J 0H8