Forms and Templates
This page provides a quick link to Bannatyne Campus Research Ethics Boards Templates and should only be accessed following the review of web pages on this site relating to initial and continuing review Submission Requirements.

NOTE:  All requests for review (including requests for delegated review) of new projects must be submitted to the Bannatyne Campus Research Ethics Board office by the monthly full board meeting deadline dates.  New submissions must be HAND DELIVERED OR COURIERED to the REB office.  
NOTE:  HEALTH RESEARCH ETHICS RESEARCHERS (HREB) - please read the following link for a message that pertains solely to Health Research Ethics Board (HREB) submissions to the Bannatyne Campus Human Ethics REB Office:

  Health Research Ethics Board (HREB) submission communication

  ***ALL new or other submissions to HREB on CD/Memory stick***


 REB Submission Form

(Revised October 1, 2009)		 Download as MS Word
Submission Form for Retrospective Chart or Records Review . The HREB has developed a new form and procedures for reviewing retrospective chart/record(s) review or a retrospective database review where there is no intention of contacting individuals.  The full REB Submission Form must be completed for all other studies.  Details regarding specific submission instructions and requirements are outlined on the form and on the Health Research Ethics Board (HREB) Policy Statement on Retrospective Chart or Record Reviews.  Please call Shelly Rempel-Rossum at 789-3389 if you have any further questions regarding the new processes.

(Revised November 15, 2011)		 Download as MS Word
Basic Elements of Consent Disclosure Statements for Survey Research

(Revised September 28, 2009)		 Download as MS Word
Request for Amendment/Changes to a Previously Approved Study

(Revised November 1, 2008)		 Download as MS Word
P.I. Curriculum Vitae Template (NEW CV Template for 2012 Required)

(Revised September 2011)		 Download as MS Word
Required Elements of the Informed Consent

(February 10, 2003)		 Download as MS Word
Informed Consent Form Template for Clinical Trials

(February 10, 2003)		 Download as MS Word
Informed Consent Form Template for Non-Clinical Trials

(February 10, 2003)		 Download as MS Word
Assent Template

(June 22, 2004)		 Download as MS Word
Informed Consent Form Template for Permission to be Contacted for Future Research

(March 29, 2001)		 Download as MS Word
Annual Study Status Report Form
This report is to be submitted each year.

(Revised January 1, 2010)		 Download as MS Word
Final Study Status Report Form
This report is to be completed for all studies submitted to either the HREB or BREB.

(Revised November 1, 2008)		 Download as MS Word
Major Protocol Deviation Form

(January 20, 2007)		 Download as MS Word
Minor Protocol Deviation Form

(January 20, 2007)		 Download as MS Word
Local Adverse Event Form (Initial)

(September 2011)		 Download as MS Word
Local Adverse Event Form (Follow-up)

(September 2011)		 Download as MS Word
External Adverse Event Form

(September 2011)		 Download as MS Word
Updated Safety Information Form

(September 2011)		 Download as MS Word
Periodic Safety Information Reporting Form

(September 2011)		 Download as MS Word
Radiation Proposal Summary Form

(June 24, 2004)		 Download as MS Word

TIPS for submitting consent forms
Read template instructions page prior to using.

Use simple language and avoid medical jargon.

Check for spelling, typing and gramatical errors prior to submitting.

Review consent forms to ensure only applicable wording is included in version submitted to REB.

The BOLDING and UNDERLINING that appears in the ICF templates is for ease of use only.  Please remember to remove the Bolding and Underlining from the Informed Consent Forms before submitting them.

Insert a version date in the footer of each page and change when revisions are made.