Att 6f_Childrens Hospital of Philadelphia IRB agreement




 


 

ACKNOWLEDGEMENT OF SITE AGREEMENT TO CEDE IRB REVIEW AND REVIEWING IRB TO PROVIDE
OVERSIGHT
This form documents that:
1) Florida State University will serve as the Reviewing IRB for Children’s Hospital of Philadelphia
for the study noted below;
and
2) Children’s Hospital of Philadelphia has agreed to cede IRB review to Florida State University for
the study noted below.
Study Title:

Expanding PrEP in Communities of Color (EPICC+)
(EPICC+Training & Cohort) STUDY00003652

Overall PI:

Dr. Lisa Hightow-Weidman

Relying Site Investigator:

Dr. Marne Castillo

IRB review will be ceded under the SMART IRB Master Common Reciprocal Institutional Review Board
Authorization Agreement. Questions about the IRB review process or study status should be directed to
Julie Haltiwanger at jhaltiwanger@fsu.edu.
Reviewing IRB Point of Contact Signature:

Date:

X________________________________

%






Print Name:  $
"
Title:

 " 



#
#"!
 ""

Relying Institution Point of Contact Signature:

Amy Schwarzhoff,
X___________________________________
Print Name: Amy Schwarzhoff

MS, MBA, CIP

Date:
Digitally signed by Amy
Schwarzhoff, MS, MBA, CIP
Date: 2023.04.18 11:25:32 -04'00'

Title: Director, Human Subjects Research

cc:

www.smartirb.org

Funded by the NIH Clinical and Translational Science Awards (CTSA) Program, grant number UL1TR001102-04S1