IRB Calendar

• St Lukes 2012 IRB Calendar  (PDF)

Which IRB Do I Need?

• IRB Assessment Chart (PDF )

IRB Forms

• Enrollment Log Form (MS Excel )
• Investigational Drug Data Sheet  (MS Word )
• Investigator Financial Disclosure and Declaration Form  (MS Word )
• IRB Waiver of Authorization  (MS Word )
• Protocol Application for Administrative Review  (MS Word )
• Protocol Final Report  (MS Word )
• Protocol Renewal Application  (MS Word )
• Request for Expedited Review  (MS Word )
• Sample Informed Consent Form  (MS Word )
• Sample Protocol for Human Subject Research  (MS Word )
• Sample Chart Review Proposal  (MS Word )
• Sample Letter  (MS Word )
• Sample Memo to IRB  (MS Word )
• Adverse Event Report Form  (MS Word )

Contact Information

St. Luke’s IRB
Angie Esquivel, Research Operations Coordinator
6720 Bertner Ave., MC 3-288
(5th Floor, Room O-510)
Houston, Texas 77030
Phone: 832-355-3347
Fax: 713-610-2272
E-mail: aesquivel@sleh.com

Chair:    Arthur W. Bracey, M.D.
Vice Chair:    Frank A. Redmond, M.D., Ph.D.

Department of Research
Cheryl Fullmer, RN, MBA
Director
6720 Bertner Ave., MC 1-191
(5th Floor, Room O-510)
Houston, TX 77030
Phone: 832-355-6801
Fax: 713-610-2272
E-mail: cfullmer@sleh.com

Melissa Cates, CCRP, MHA
Research Operations Specialist
6720 Bertner Ave., MC 1-191
(5th Floor, Room O-510)
Houston, TX 77030
Phone: 832-355-5125
Fax: 713-610-2272
E-mail: mcates@sleh.com