Essential Information for All New Applications
Application Guidance for Research Governance Submissions (Site Specific Assessments)
- Research Study Checklist for Coordinating Principal Investigators
- Cover letter for HREC applications
- Site Specific Assessment Form
- Southern Health Site Specific Participant Information and Consent Form
- Completed CTN Form (if the study is being done under the CTN Scheme)
- Certificate of Insurance
- Medicine’s Australia Standard Form of Indemnity for Clinical Trials
- Medicine’s Australia Standard Clinical Trial Research Agreement
- Form 1 Specific Requirement Checklist
- Form 2 Key Details Form
- Form 3 Hospital Services
- Form 4 Certification of Head of Department
- Form 4A Certification by Head of Pathology Department
- Form 4B Certification by Head of Diagnostic Imaging Department
- Notification to Program Directors
- Fee Schedule
In addition, the final version of the Southern Health Site Specific Participant Information and Consent Form/s must be emailed to Deborah Dell along with the Southern Health HREC Reference number, so that an electronic barcode may be inserted on the final approved document/s. The final approved Southern Health Site Specific Participant Information and Consent Form/s will then be emailed to the researcher at the same time as the letter of Site Specific Authorisation. The barcode will ensure that a scanned copy of the Participant Information and Consent Form/s are placed under the Legal Tab on the Participant’s Scanned Medical Record. Researchers will still be required to complete an orange alert for each participant.
For detailed information on SERP please refer to the Consultative Council for Human Research Ethics (CCHRE) website http://health.vic.gov.au/cchre/
Application for Low and Negligible risk projects (including Quality Assurance)
- Victorian Low/Negligible Risk HREC Application Form
- Victorian Low/Negligible Risk Site Specific Assessment Form
- Participant Information and Consent Form
- Study Protocol
- A copy of any questionnaires/letters of invitation/advertising material etc
Application Guidance for Clinical Research Projects
- Ethics Checklist for Coordinating Principal Researchers
- Research Governance Checklist for Principal Researchers
- Study Protocol
- Any questionnaires/letters of invitation/advertisements etc
- Form 1 Specific Requirement Checklist
- Form 2 Key Details Form
- Form 3 Hospital Services
- Form 4 Certification of Head of Department
- Form 4A Certification by Head of Pathology Department
- Form 4B Certification by Head of Diagnostic Imaging Department
- Notification to Program Directors
- Fee Schedule
Application Guidance for Clinical Drug/Device Projects being submitted for Single Site Review to Southern Health
- Ethics Checklist for Coordinating Principal Researchers
- Research Governance Checklist for Principal Researchers
- Study Protocol
- Investigator’s Brochure
- Any questionnaires/letters of invitation/advertisements etc
- Completed CTN Form (if the study is being done under the CTN Scheme)
- Certificate of Insurance
- Medicine’s Australia Standard Form of Indemnity for Clinical Trials
- Medicine’s Australia Standard Clinical Trial Research Agreement
- Form 1 Specific Requirement Checklist
- Form 2 Key Details Form
- Form 3 Hospital Services
- Form 4 Certification of Head of Department
- Form 4A Certification by Head of Pathology Department
- Form 4B Certification by Head of Diagnostic Imaging Department
- Notification to Program Directors
- Fee Schedule
Application Guidance for Clinical Drug/Device Projects being submitted for Multi-Site Review
- All applications must be booked through the Central Allocation System (CAS) (61 3) 9092 1983, Monday to Friday 10am to 5pm EST
- A research governance checklist does not need to be submitted unless Southern Health is a participating site
- All documents must be uploaded onto the online forms website
- A HREC Review Only Form of Indemnity must also be provided with the submission
Required documents:
- Research Study Checklist for Coordinating Principal Investigators
- Cover letter for HREC applications
Document downloads
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29-11-2011
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09-11-2011
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29-11-2011
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