Nicklaus Children's Hospital, formerly Miami Children's Hospital
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Category 4

Research Forms

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Forms for Retrospective Chart or Database Research


Retrospective research using PHI collected from a deceased patient's records (if patients were deceased prior to the study)


Research Administration Forms


  1. Protocol or description of the study
  2. Data Collection Form or List of Database Fields
  3. Curriculum Vitae (CV) for all investigators*
  4. Human Subjects Protection Training Certificate, for all investigators*


*if not already on file





1. Form 4 - Application for Research on Decedents



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


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