Forms & Templates

Downloadable Content Coming Soon

Scientific Review for Research that has not been Peer-Reviewed

Amendment Form for Changes to Study


Change in Study Personnel and Contact Information

Closure Form


Final Study Status Report (FSSR) Electronic Submission


Consent Templates

  • Template for Clinical Trials Consent

  • Template for Non-Clinical Trial Informed Consent

  • Template for Focus Group or Individual Interview Consent

  • Basic Elements of Consent Disclosure Statements for Survey Research 

  • Informed Consent Template for Permission to the Re-contacted for Future Research

Adverse Event Reporting and Safety Data Forms

  • Local Adverse Event Unanticipated Problems Form and Instructions

  • Local Adverse Event Unanticipated Problems Follow-Up Form

  • External (Non-Local) Adverse Event Form and Instructions

  • Updated Safety Information Form and Instructions

  • Periodic Safety Update Form and Instructions

Protocol Deviations Reports (including for Privacy Breaches)

  • Major Protocol Deviation Form

  • Minor Protocol Deviation Form

Annual Review


Study Closure and Termination


Request for Preliminary Access (RPA) to Grant Funding



Research Improvements Through Harmonization In Manitoba

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©2020 by Research Manitoba.
RITHIM is located on the original lands of Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and in the homeland of the Métis Nation.
We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to move forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration.