Informed Consent Templates

Investigators are required to use the FIU Informed Consent templates provided below. In some circumstances, researchers may still be permitted to use an external Informed Consent form when the research is conducted off-site in collaboration with another institution’s IRB. Such situations are handled by the IRB on a case-by-case basis.

The templates are revised frequently, so please visit this page prior to submitting any protocols to verify that you are using the latest template. The first page of each form provides guidelines on completing the Informed Consent templates. Remember that your research population and proposed research may require special considerations. Use the templates below to prepare your documents.

FIU IRB Informed Consent Templates:

Adult Written Informed Consent For the acquisition of an adult’s written consent to participate in research
Parental Written Informed Consent For the acquisition of a parent’s written consent to allow a child to participate
Children Written Informed Consent For the acquisition of a child’s assent to participate
Adult Verbal Informed Consent For the acquisition of verbal consent where a waiver of written consent has been requested
Adult Online Informed Consent For the acquisition of online consent where a waiver of written consent has been requested
Adult Information Letter For providing the participant with information about the study. This type of letter is typically used in Exempt approved research
Adult HIPAA Authorization Form For the acquisition of protected health information (PHI). This is required when accessing medical records

FIU IRB MRI Informed Consent Templates:

Adult MRI Written Informed Consent For the acquisition of an adult’s written consent to participate in MRI research
Parental MRI Written Informed Consent For the acquisition of a parent’s written consent to allow a child to participate in MRI research
Children MRI Written Informed Consent For the acquisition of a child’s assent to participate in MRI Research

All clinical trial protocols being submitted to Western IRB (IRB) are required to use the WIRB formatted Informed Consent Template. The WIRB formatted Informed Consent Template contains the required language for both FIU and WIRB.

Western IRB (WIRB) Consent Templates:

WIRB Informed Consent: For the acquisition of an adult’s written consent to participate in research