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Individual & Organization Review Forms
IMPORTANT! At the end of each protocol, we must gather each patient's results and experience with their peptide protocol and submit to the IRB.
The results are recorded on a 1004 form. There are 2 versions of the 1004 form. The first version is to be filled out by the patient for their individual results. The second version is to be filled out by the organization (your clinic) and should include the results of all patients that have finished a peptide protocol within that research schedule (the past 6 months).
Both 1004 forms will be submitted to the IRB in both June and December of each year. The results of each individual will be complied and recorded by the IRB.
Once the form has been signed by you and your patient, please return it to Cellular Peptide via email or mail for final submission to the IRB.
CIF1004 Individual Form
Please download and save this form for future use with all peptide patients. If you're unsure how to fill out the form, please click the button at the bottom of the page to view the provided example form.
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CIF1004 Organization Form
Please download and save this form for future use within your organization. If you're unsure how to fill out the form, please click the button at the bottom of the page to view the provided example form.
Eclqb4nqom000101s6fg1s962rE
Unsure how to fill out the forms? Check out these examples!
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