Submission Forms

Listed below are the research forms and instructions necessary to apply for UHS research protocol. One copy of required forms can be Emailed, faxed to 358-8496 or sent to UHS Mails top 96-1. Contact the UHS Research Projects Coordinator 210.358.0086 if you have questions or need forms not provided here.

The forms 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.

Clinical Sites

Click on the excel icon to view a list of University Health System Clinical Sites.  XLS Arrows at the top of the columns allow you to filter by clinical site or department.


NON-Research

Activities are not research if they do not involve a systematic approach involving a predetermined method for studying a specific topic, answering a specific question, testing a specific hypothesis, or developing theory.

  • UTHSCSA IRB Determination Letter of Non-Research
  • De-Identified Data Form from UTHSCSA (if applicable)

Research Not Involving Humans

"Research Not Involving Humans" research is conducted with the use of animal specimens, cadaver, left-over, de-identified specimens, or specimens/data from a repository (de-identified to recipient). These studies cross boundaries between basic science and clinical application.
Submit the following:

  • Copy of UTHSCSA IRB or  IACUC Approval of Non-human Research Forms
  • UHS Research form: Not Involving Humans DOC PDF
  • De-Identified Data Plan

Human Use/Exempt

Human use research classified as minimal risk by the Institutional Review Board. 
Submit the following:

  • Copy of forms given to UTHSCSA IRB and IRB Approval Letter
  • Combined VA/UHS/UTHSCSA Research Scope of Practice
  • Copy of IRB dated consent forms (if applicable)
  • UHS Institutional Assurance/Supplemental Conditions
    • Document DOC PDF
    • Supplemental Conditions DOC PDF
  • UHS Research Protocol Proposal Exempt Form DOC PDF
  • Disclosure Log (If Applicable) XLS PDF

Human Use/Expedited or Full Board

Human use research classified as greater than minimal risk by the Institutional Review Board.
Submit the following:

  • Copy of forms given to UTHSCSA IRB and IRB Approval Letter
  • Copy of IRB stamped consent form
  • Combined VA/UHS/UTHSCSA Research Scope of Practice PDF
  • UHS Institutional Assurance/Supplemental Conditions
    • Document DOC PDF
    • Supplemental Conditions DOC PDF
  • UHS Research Protocol Proposal Form DOC PDF
  • Investigational Device Information Form (Applicable) DOC PDF
  • Investigational Drug Information Form (If Applicable)DOC PDF

Humanitarian Device

Submit the following:

  • IRB Approval Memo
  • FDA Letter Designation of Humanitarian Device
  • UHS Form DOC PDF
    • Product Evaluation Approval (Only if UHS required to pay for device) DOCPDF
    • Tracking Plan for Device

Emergency Use

  • UHS Policy Information: 9.03000 EMERGENCY USE OF EXPERIMENTAL DRUGS OR DEVICES PDF

Pre-Research

  • UHS Forms DOC PDF
  • Disclosure Log XLS PDF