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UBC Clinical Research Ethics Board (PHSA) – SAMPLE FORM

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Page 1: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

UBC Clinical Research Ethics Board (PHSA) – SAMPLE FORM

Page 2: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 3: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 4: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 5: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 6: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 7: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 8: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 9: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Answering “Yes” to Question 4.6: Multi‐jurisdictional Studies

Page 10: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 11: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Answering “No” to Question 4.6: Multi‐jurisdictional Studies

Page 12: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Answer “Yes” to Question 4.7.A: Creation of a Registry (Data or Tissue Bank)

Page 13: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 14: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 15: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 16: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 17: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 18: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Answer “Yes” to Questions 4.8.C and 4.8.D:

Page 19: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 20: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 21: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 22: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 23: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 24: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 25: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 26: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 27: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 28: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 29: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 30: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 31: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 32: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 33: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 34: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 35: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 36: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 37: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

Page 38: UBC Clinical Research Ethics Board PHSA - · You can sort the returned list alphabetically by First name, Last name, or Organization by clicking the appropriate heading. 4. Select

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