Department of Health - IX

Professional Education Training and Research

3F, Hospital Research Office, Obstetrics and Gynecology Building

ZCMC, Dr. Evangelista St., Sta. Catalina, Zamboanga City

Tel. No.: 062 9912934 local 113 Email: This email address is being protected from spambots. You need JavaScript enabled to view it. 

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Technical Review Board Evaluation Form

Technical Review Clearance

Curriculum Vitae for ERC Members

Training Record of an ERC Member

Application Form for Ethics Protocol Review

Protocol Summary Sheet

Protocol Evaluation Form

Informed Consent Evaluation Form

Notification of ERC Decision

Approval Letter

Letter of Appointment of ERC Member

Confidentiality and Conflict of Interest Agreement (COI)

Serious Adverse Events Report Form

Protocol Amendment Review Form

Progress Report Form

Final Report Form

Deviation Non Compliance Violation Report Form

Request Query Record Form

Site Visit Report Form

Study Termination Form

Agenda of the Meeting (Ethics)

Minutes of the Meeting (Ethics) 

Report of Results of Expedited Review

Confidentiality Agreement Form for Non-members

Evaluation Form for Peer Reviewers ( For Medical Journal)

Protocol Approval Tracking Form A (Technical)

Technical Review Checklist for Protocol Submission

Sample of Informed Consent/Assent Forms