For Viral Illness Information, Including Covid-19 - click here
  • Patients:301-790-8000
    TDD:240-469-6013
Meritus Health
  • Donate Now
  • Locations

    Locations

    • Diagnostic Imaging Services (DIS)
    • Diagnostic Imaging Services (DIS) - Professional Court
    • Diagnostic Imaging Services (DIS) - Robinwood Professional Center
    • Diagnostic Imaging Services (DIS) - Ultrasound Services
    • Equipped for Life
    • Health@Work
    • Home Health
    • Infusion Services
    • John R. Marsh Cancer Center
    • Meritus After Hours Pediatrics
    • Meritus Allergy & Asthma Specialists
    • Medication Assistance Center
    • Meritus Bariatric Surgical Specialists
    • Meritus Center for Breast Health
    • Meritus Digestive Health Specialists
    • Meritus Endocrinology Specialists- Robinwood
    • Meritus Family Medicine - Robinwood
    • Meritus Family Medicine- Walnut Street
    • Meritus Family Medicine - Williamsport
    • Meritus Gynecologic Oncology Specialists
    • Meritus Hagerstown Heart
    • Meritus Healthcare Foundation
    • Meritus Hematology and Oncology Specialists
    • Meritus Infectious Disease Specialists
    • Meritus Internal Medicine – Robinwood, Suite 150
    • Meritus Medical Center
    • Meritus Medical Laboratory - Boonsboro
    • Meritus Medical Laboratory - Hancock
    • Meritus Medical Laboratory - Kensington Center
    • Meritus Medical Laboratory - Robinwood Professional Center
    • Meritus Medical Laboratory - Smithsburg
    • Meritus Medical Laboratory - Meritus Medical Plaza
    • Meritus Medical Laboratory - Williamsport
    • Meritus Pain Specialists
    • Meritus Pediatric and Adult Medicine - Smithsburg
    • Meritus Pulmonary Consultants - Frederick
    • Meritus Pulmonary Consultants - Hagerstown
    • Meritus Pulmonary Consultants – Robinwood Sleep Center
    • Meritus Robinwood Orthopedics
    • Meritus Robinwood Orthopedics- Frederick
    • Meritus Pharmacy
    • Meritus Primary Care
    • Meritus Surgical Specialists
    • Meritus Physical Therapy
    • Meritus Physical Therapy – Frederick
    • Meritus Physical Therapy - Robinwood
    • Meritus Urgent Care
    • Meritus Women’s Health Specialists - Professional Court
    • Meritus Women’s Health Specialists - Robinwood
    • Parish Nursing
    • Repeat Performance Thrift Shop
    • Meritus Cosmetic & Plastic Surgery – Hagerstown
    • Meritus Cosmetic & Plastic Surgery – Chambersburg
    • Meritus Primary Care – Cascade
  • Schedule Appointment
  • Careers
    • Administrative Fellowship Program
    • Nursing at Meritus
    • Family Medicine Residency
    • Pharmacy Residency Program
    • Provider Opportunities
  • MyChart - Patient Portal
  • Contact Us
  • About Us

    About Us

    • Mission & Vision
    • Meritus In the News
    • Healthy Washington County
    • Careers
    • Code of Conduct
    • Diversity and Health Equity
    • Research
    • Leadership
    • Maryland Physicians Care
    • Meritus Healthcare Foundation
    • Tradition of Caring
    • Proposed Meritus School of Osteopathic Medicine
    • Close to Home Podcast
  • Our Services

    Our Services

    View all services
    • Allergy & Asthma
    • Annual Wellness Visits
    • Bariatric Surgery
    • Behavioral Health & Employee Assistance Program
    • Breast Health
    • Cancer Services
    • Cardiac Services
    • Cosmetic & Plastic Surgery
    • Diabetes Care
    • Emergency Care
    • Endocrinology
    • Equipped For Life
    • Health@Work & EAP
    • Home Health
    • Infusion Services
    • Joint Replacement
    • Maternity Services
    • Medical Equipment
    • Medical Lab
    • Medication Assistance Center
    • Meritus Medical Group
    • Orthopedics
    • Palliative Care
    • Pediatric After Hours
    • Pulmonary Care
    • Rehabilitation
    • Rheumatology
    • Spiritual Care Services
    • Stroke Center
    • Surgery
    • Urgent Care
    • Women's Health
    • Wound Center
    • Mobile Health Clinic
    • Meritus Pharmacy
  • Our Doctors
  • Patients & Visitors

    Patients & Visitors

    • Visitor Information
    • Accepted Insurances
    • Advanced Directives
    • Billing Information
    • Community Resources
    • Viral Illness Information
    • Daisy Nomination
    • Financial Assistance
    • Financial Disclosures/CMS Price Transparency
    • Language Interpretation Services
    • Medical Record Request
    • Patient Advocacy
    • Patient Rights & Responsibilities
    • Patient & Family Advisory Council
    • Patient Stories
    • MyChart - Patient Portal
    • Privacy Practices
    • Public Notice
    • Non-Discrimination Notice
    • Monkey Pox
    • Zero Harm
    • Masking
    • The Meritus Promise
    • Corporate Compliance
  • Referring Physicians
  • Events & Classes
  • Careers
  • Partnerships

    Partnerships

    • Healthy Washington County
    • Maryland Physician Care
    • AARP Lead
Meritus Health
Patients:301-790-8000
TDD:240-469-6013
  • About Us
    • Mission & Vision
    • Meritus In the News
    • Healthy Washington County
    • Careers
    • Code of Conduct
    • Diversity and Health Equity
    • Research
    • Leadership
    • Maryland Physicians Care
    • Meritus Healthcare Foundation
    • Tradition of Caring
    • Proposed Meritus School of Osteopathic Medicine
    • Close to Home Podcast
  • Our Services
    • Allergy & Asthma
    • Annual Wellness Visits
    • Bariatric Surgery
    • Behavioral Health & Employee Assistance Program
    • Breast Health
    • Cancer Services
    • Cardiac Services
    • Cosmetic & Plastic Surgery
    • Diabetes Care
    • Emergency Care
    • Endocrinology
    • Equipped For Life
    • Health@Work & EAP
    • Home Health
    • Infusion Services
    • Joint Replacement
    • Maternity Services
    • Medical Equipment
    • Medical Lab
    • Medication Assistance Center
    • Meritus Medical Group
    • Orthopedics
    • Palliative Care
    • Pediatric After Hours
    • Pulmonary Care
    • Rehabilitation
    • Rheumatology
    • Spiritual Care Services
    • Stroke Center
    • Surgery
    • Urgent Care
    • Women's Health
    • Wound Center
    • Mobile Health Clinic
    • Meritus Pharmacy
  • Our Doctors
  • Patients & Visitors
    • Visitor Information
    • Accepted Insurances
    • Advanced Directives
    • Billing Information
    • Community Resources
    • Viral Illness Information
    • Daisy Nomination
    • Financial Assistance
    • Financial Disclosures/CMS Price Transparency
    • Language Interpretation Services
    • Medical Record Request
    • Patient Advocacy
    • Patient Rights & Responsibilities
    • Patient & Family Advisory Council
    • Patient Stories
    • MyChart - Patient Portal
    • Privacy Practices
    • Public Notice
    • Non-Discrimination Notice
    • Monkey Pox
    • Zero Harm
    • Masking
    • The Meritus Promise
    • Corporate Compliance
  • Referring Physicians
  • Events & Classes
  • Careers
    • Administrative Fellowship Program
    • Nursing at Meritus
    • Family Medicine Residency
    • Pharmacy Residency Program
    • Provider Opportunities
  • Partnerships
  • Healthy Washington County
  • Maryland Physician Care
  • AARP Lead
About UsResearchIRB Forms

IRB Forms

Below are links for forms needed to start the IRB process. If you have questions or need assistance call the Office for Human Subject Protection at 301-790-8825.

  • IRB Application
  • Research Plan
  • Instructions for CITI
  • Consent Form
  • Consent Form Instructions
  • HIPAA Authorization Form
  • Waiver of Consent & HIPAA Auth Request
  • Waiver of Documented Consent Application
  • Progress Report
  • Amendment Form
  • Deviation Form

IRB Forms
About Us
  • Mission & Vision
  • Meritus In the News
  • Healthy Washington County
    • 55 Up
    • Community Health Needs Assessment
    • Your Health Matters
    • Nutrition
    • Parish Nursing
  • Careers
  • Code of Conduct
  • Diversity and Health Equity
    • Meritus LEAD Council
      • 2023 Goals
      • 2022 Accomplishments
      • 2021 Accomplishments
    • Resources for Employees
    • Health Equity Report
    • Supplier Diversity
  • Research
    • Our Active Studies
    • Observational Clinical Research Studies
    • IRB Forms
    • Research Articles, Publications & Scholarly Works
  • Leadership
    • Board of Directors
    • Medical Staff Leadership
  • Maryland Physicians Care
  • Meritus Healthcare Foundation
    • How to Support
      • Donate Now
      • Cornerstone Giving Club
      • Corporate Roundtable
      • General Bequest
      • Retirement Gifts
    • Events page
    • Impact Stories
  • Tradition of Caring
  • Proposed Meritus School of Osteopathic Medicine
  • Close to Home Podcast
  • MyChart - Patient Portal
  • MeritusNow Virtual Care
  • Symptom Checker
  • Go For Bold
  • Media Center
Meritus Health
  • Events & Classes
  • For Doctors
  • Patients & Visitors
  • For Employees
  • Our Services
  • Media
  • Locations
  • Translation Disclaimer
11116 Medical Campus Road
Hagerstown, MD 21742
Patients: 301-790-8000 TDD: 240-469-6013
x

⚠

Your browser is out of date. To get the full experience of this website, please update to most recent version.

Update My Browser
  • Copyright © 2023
  • Privacy Policy
  • Site Map
Scorpion Healthcare Marketing