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ACKNOWLEDGEMENT OF SITE AGREEMENT TO CEDE IRB REVIEW AND REVIEWING IRB TO PROVIDE
OVERSIGHT
This form documents that:
1) Florida State University will serve as the Reviewing IRB for Children's Hospital at Montefiore for
the study noted below;
and
2) Children's Hospital at Montefiore has agreed to cede IRB review to Florida State University for
the study noted below.
Study Title:
Expanding PrEP in Communities of Color (EPICC+)
(EPICC+Training & Cohort) STUDY00003652
Overall PI:
Dr. Lisa Hightow-Weidman
Relying Site Investigator:
Dr. Michelle Collins-Ogle
IRB review will be ceded under the SMART IRB Master Common Reciprocal Institutional Review Board
Authorization Agreement. Questions about the IRB review process or study status should be directed to
Julie Haltiwanger at [email protected].
Reviewing IRB Point of Contact Signature:
Date:
X________________________________
Print Name:
Title:
"
#
!!
Relying Institution Point of Contact Signature:
X___________________________________
Print Name:
Sehily Carlson
Date:
5/9/2023
Title: Assistant Director, Cooperative Research, Einstein OHRA
cc:
www.smartirb.org
Funded by the NIH Clinical and Translational Science Awards (CTSA) Program, grant number UL1TR001102-04S1
File Type | application/pdf |
File Title | https:/myrampagreements.research.fsu.edu/Agreements/sd/Doc/0/81R0PECJBS8UQPS4NRCPCLIG00/Agreement_for_REL00000220 |
Author | Jacob |
File Modified | 2023-05-09 |
File Created | 2023-01-17 |