Concord Hospital Concord Hospital
The Concord Research Office

Forms and Templates

For more information on submission guidelines and required documentation when submitting a new proposal, please refer to How to apply.

Ethics Forms

Suggested Protocol Templates
How to write a Research Protocol
SPIRIT (Clinical Trials only)

Privacy Form
• Privacy Compliance Form (For arguing waiver of consent)

Data Collection Form Templates
Data Collection Form Template
Master Code Sheet Template

Participant Information Sheet and Consent Forms
Master Executive Summary Sheet (For Commercially Sponsored Clinical Trials only)
Master Participant Information Sheet and Consent Form
Master Participant Information Sheet and Consent Form (Database)
Master Genetic Research Participant Information Sheet and Consent Form
Invitation from Clinical Team
Expression of interest

Clinical Trial Only Forms
Indemnity Standard Form
Indemnity HREC Review Only

Research Involving Ionising Radiation
Radiation Safety Report

Research Governance Forms
Site Specific Assessment Form (SSA)
RGO Annual Report (Word)
NB: This form is to be used to provide an Annual Report to the CRGH Research Governance Officer. Alternatively, you may provide a copy of the lead HREC Annual report (which contains details of the status of the study at CRGH).

Guidance Documents and Forms
Genetic Research Checklist
Guidelines for Compensation
Scientific Review Checklist

Post Approval Forms
Amendment Summary Sheet (or updated IB)
Change in Study Personnel Form

Reporting Forms
Progress Reports
HREC Annual Progress Report (Word)
5 Year HREC Resubmission Form

Safety Reporting and Monitoring
Significant Safety Issue (SSI) notification form
SUSAR/USADE/URSAE reporting form