Expedited/Chart Review

Bundled Forms

Listed below are the research forms and instructions necessary to apply for UHS research protocol. Contact the UHS Research Projects Coordinator 210.358.0086 if you have questions or need forms not provided here.

The forms names listed next to the following icons are available in MS Word DOC, Adobe PDF PDF, or MS Excel XLS formats. Click on the icon for display or download to your PC. The word documents are formatted to allow movement between fields by using the tab key.

  1. Medical Record Review Request DOC PDF


  2. Institutional Assurance Document DOC PDF


  3. Scope of Practice DOC PDF


  4. Confidentiality Statements DOC PDF


  5. Protocol


  6. IRB Stamped Consent Documents (English and Spanish if applicable)


  7. IRB Approval Letter - Must list specific Health System study sites


  8. Abstract DOC PDF


  9. Disclosure Log DOC PDF


  10. Proposal for Research Protocol Approval DOC PDF