Att 6k_Baylor Harris Health PrEP Clinic IRB agreement

Att_6k_Baylor_Harris_Health_PrEP_Clinic_IRB_agreement[1].pdf

[NCHHSTP] Expanding PrEP in Communities of Color (EPICC)

Att 6k_Baylor Harris Health PrEP Clinic IRB agreement

OMB: 0920-1423

Document [pdf]
Download: pdf | pdf


 		
	

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 Baylor College of Medicine for the
study noted below;
and
2) Baylor College of Medicine 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. Mary Paul

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:

Date:

Amara Azobu
X___________________________________

Digitally signed by Amara Azobu
Date: 2023.03.06 15:35:17 -06'00'

Print Name: Amara Azobu
Title: Director, Research Compliance - IRB

cc:

www.smartirb.org

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


File Typeapplication/pdf
File Titlehttps:/myrampagreements.research.fsu.edu/Agreements/sd/Doc/0/CJ8OCA4JBS8UQPS4NRCPCLIG00/Agreement_for_REL00000213
AuthorJacob
File Modified2023-03-06
File Created2023-01-17

© 2024 OMB.report | Privacy Policy