Nicklaus Children's Hospital, formerly Miami Children's Hospital
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Category 2

Research Forms

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Forms for Retrospective Chart or Database Research


Retrospective review of PHI for research when it is impractical to obtain informed consent of the patients before reviewing the records and the disclosure of PHI is minimal risk to the subject


Research Administration Forms


1. NCH Application for Research (PDF format)

2. NCH IRB Submission Form

3. Protocol or description of the study

4. Data Collection Form or List of Database Fields

5. Curriculum Vitae (CV) for all investigators*

6. Human Subjects Protection Training Certificate, for all investigators*


*if not already on file




1. Form 2 - Waiver of Authorization



Submit to Office of Research Administration for Determination of Exemption or Expedited Review.


If you feel study is exempt, submit Claim of Exemption Form.