Sample Informed Consent Forms

Waivers – Informed Consent

Permission Forms

  • Request to Access Lourdes University Information (PDF)—This form should only be completed if you are requesting access to Lourdes data. Approval indicates an awareness that the research is taking place. This form does not serve as a means to insure the protection of human subjects. 
  • Agency Permission Form (PDF)—This form shows that permission has been granted to the investigator for access to the necessary data/resources/employees to complete the study.

Amendments and Continuing Reviews

Completion of Project


Email IRB

Kristin Booth
IRB Administrator

Lynne Zajac, Ph.D., R.N.
Chairperson, IRB