Get Application For Submission - Arizona Department Of Health Services - Azdhs

Filling out the Application For Submission to the Arizona Department of Health Services is an essential step for researchers seeking review by the Human Subjects Review Board. This guide provides clear, step-by-step instructions to help you successfully complete the form online.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing the principal investigator information, including the name, organization, and contact details such as email address and phone number.
3. Provide the project or study name, along with a clear purpose or objective for your research.
4. Enter the time period for the project or study. Be precise about the duration.
5. Indicate whether you are seeking access to birth records and/or death records by checking the appropriate boxes.
6. Select the type of submission you are making: new submission, five-year renewal, protocol modification, continuing review report, or other. If applicable, provide the HSRB number.
7. Acknowledge the requirements by signing the form, ensuring you understand that your submission must contain all necessary elements for review.
8. Prepare and submit the necessary additional documents, including original and three copies of the project/study, completed Security Considerations Form, and signed Confidentiality Statement. Include one copy of the Waiver of HIPAA Authorization if required.
9. Once all sections are filled, save changes, and prepare to download, print, or share the completed application to ensure timely submission.

Complete your Application For Submission online today to ensure your research is reviewed promptly.