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County of Orange HCA Human Subjects Review Committee
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Human Subjects Review Committee
phone: (714) 834-2034
fax: (714) 834-7644

 

Downloads

Click on the icon, in the table  below, to download the appropriate file.

Name & Description

Revised

Download

Deputy Agency Director Research Proposal Review/Signature Form
This form is to be signed by the relevant DAD and submitted with all new protocols

 3/20/03

Download Deputy Agency Director Signature Form - Word file

SAMPLE Human Subjects Protocol - Application for approval of a  Research Study involving Human Subjects

8/27/02

Download Sample Application - Word file

Authorization for Use and Disclosure of Protected Health Information for Research Purposes
This Authorization for Release of Protected Health Information (PHI) is a required supplement to the Informed Consent Form
10/30/03

Annual Status Report

8/27/02

Download Status Report - Word file

Final Report

3/24/04

Download Final Report - Word file

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