Bloorview Research Institute

Science & Ethics Review: Forms

Science Review - Forms & Guidelines

• The Science Review Process at Holland Bloorview Kids Rehabilitation Hospital (word)
  • Consult this document to determine the appropriate review process
• Request for Scientific Review Form (Microsoft Word Document: 30 KB)
• For projects submitting for external funding >$75,000, submit this form with 2 copies of the proposal
• Scientific Review Form (Microsoft Word Document: 180 KB)
• This form is completed by the individuals reviewing the proposal

Ethics Review – Forms, Guidelines & Examples

• Director Approval Based on Client Populations for Research Projects (Microsoft Word Document: 70 KB)
  
• If participants are being recuited from Holland Bloorview Kids Rehabilitation Hospital, then Senior Directors and Physican Directors must be consulted in order to receive a letter of support.  This document will be helpful in determining which Senior Director and Physician Director to approach.
• Holland Bloorview Research Ethics Application Checklist (PDF)
• This form lists all the documents that must be completed in order to submit a complete research ethics application. When submitting an application, this checklist must be included.
• REB Reviewer Checklist (PDF)
• Research Ethics Board members use this checklist when reviewing protocols.This document outlines the areas of ethics review that need to be considered when creating a research proposal. Research Ethics Board reviewers use this checklist as a tool to evaluate the value, risks and benefits of a research proposal.

• TAHSN Human Subjects Research Application Form (PDF)
• TAHSN Human Subjects Research Application Form(Microsoft Word)
  
• This is the ethics application form that must be completed for research involving human participants.

• Consent Form Sample - Information Letter for Parents (Flesch-Kincaid Grade Level = 6) (Microsoft Word Document: 301 KB)
  
• This is an example of an information sheet. 
• Assent Form Sample - Information Sheet and Assent Form for Children (Flesch-Kincaid Grade Level= 3) (Microsoft Word Document: 302 KB)
  
• This is an example of an assent form.
• Consent for Client Photography and Audio Visual Recording Form (PDF: 35 KB)
  
• This form must be used if photography or audio visual recording is going to be collected in a study.
• Consent to Collect/Disclose Personal Health Information Form (Microsoft Word Document: 118 KB)
  
• If personal health information is going to be transferred from the originial institution from which the information was colleced, then, the participant must sign this form.
• Telephone Script Example (Microsoft Word Document: 22 KB)
• This document provides a useful example of how to recruit participants over the telephone.
• Adverse Event Form (Microsoft Word Document: 286 KB)
• This form must be completed if there are any undesirable or unintended experiences or responses that occur during a study.
• Amendment Request Form (Microsoft Word Document: 335 KB)
• This form must be completed for all changes made to the study protocol, consent and/or assent form(s), and all other study related documents.
• Annual Renewal / Research Completion Form (Microsoft Word Document: 301 KB)
  
  • This form must be submitted annually in order to renew ethics approval for an on-going study. The form must be submitted at least three weeks prior to the REB approval expiry date.
  • This form must also be submitted at the completion of a study along with any final reports, publications, and the letters of appreciation sent to the participants.
• Bulletin Board Recruitment Postings Guidelines
• This policy describes the guidelines and procedures for posting recruitment flyers at Holland Bloorview Kids Rehabilitation Hospital

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