ࡱ> x|uvwK 9bjbj ^~8i~8i q` ` 8>tDI:000t   IIIIIII$L;O>IE R "t >I00"I$$$ j00I$ I$$n\@nC0]v!jA II0I BdO!O@nCnC&OCp $ >I>I(# I O ` X :  BSPH IRB RELIANCE STUDY UPDATE FORM Use to update BSPH IRB on study activities under review by an external IRB. INSTUCTIONS FOR CHECK BOXES: DOUBLE LEFT [CLICK] TO ENTER A CHECK MARK BSPH Principal Investigator: FORMTEXT      IRB No.: FORMTEXT      External IRB: FORMTEXT       Study Title: FORMTEXT       Please complete this form and upload it with the most recent continuing review approval documentation into your PHIRST application as an  Other Administrative Submission. Is the study complete and no longer active or under IRB oversight?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Has your (and the BSPH) role in the project changed since the initial reliance agreement was signed?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have any changes been approved by the reviewing external IRB that could affect the BSPH local context? If yes, please identify those changes by checking the appropriate box(es) below:  FORMCHECKBOX  Changes to the BSPH study team members/co-investigators who will be engaged in human subjects research activities. If checked, please submit an administrative amendment to add/remove BSPH personnel from the study.  FORMCHECKBOX  Changes to the recruitment plan for participants at the BSPH site.  FORMCHECKBOX  Changes to the process for obtaining informed consent, including identifying the study staff who will obtain informed consent.  FORMCHECKBOX  Changes to the data security plan, if that is a BSPH responsibility.  FORMCHECKBOX  Changes to the data and/or biospecimen sharing plan, including proposals about future use of data/specimens collected at the BSPH site.  FORMCHECKBOX  Changes to the approved study documents that could affect the local site review, including changes that could require re-review by our ancillary reviewers (P&T, COI, HIPAA, etc.).  FORMCHECKBOX  Changes that relate to institutional policies or local site legal/regulatory requirements.  FORMCHECKBOX  Changes to your research activities, funding, or anything else that could affect the BSPH IRB s responsibility for oversight of activities associated with BSPH investigators. Please explain the changes that you have checked off above in the space below.  FORMTEXT       Has the PI of the sIRB study rep*BLN\jl $ ȸȨ՘~qaVH?h2JuOJQJhhlh2Ju5OJQJhh2Ju5OJQJhh#h:T6CJOJQJaJhl56CJOJQJaJh:T6CJOJQJaJh1$6CJOJQJaJh#hl56CJOJQJaJhKlh;5CJOJQJaJhKlh@:5CJOJQJaJh1$5CJOJQJaJh-5CJOJQJaJh:ThdOJQJ]"jh-OJQJUmHnHuNx z | P~kd$$Ifl0)*# t0B*44 laytv $$Ifa$gdl5$x$Ifa$gd: $$Ifa$gd- x$IfgdKl$ & ( * < > v x z | ~ xXXXXXLhNh}^5OJQJ>jh&Dh.jCJOJPJQJU^JaJhmHnHo(u.jh&Dh.jCJOJQJUaJhh&Dh.jCJOJQJaJh(jh&Dh.jCJOJQJUaJhhNh}^OJQJhl5OJQJh:OJQJhKlh{06OJQJhKlhh;OJQJhl55OJQJhh2Juh2Ju5OJQJh|  {bkd$$Ifl30)*# tB*44 lapytv  4$IfgdKl$ 4<<$Ifa$gdl5          4 6 8 : N P R T V X Z ëӋsk``HӋ.jh&Dh.jCJOJQJUaJhhNh}^OJQJhl5OJQJhKlhkD5OJQJhNhkD5OJQJ>jh&Dh.jCJOJPJQJU^JaJhmHnHo(u.jh&Dh.jCJOJQJUaJhh&Dh.jCJOJQJaJh(jh&Dh.jCJOJQJUaJhhNhkDOJQJhKlh}^5OJQJ  8 ` b {{  4$IfgdKl$ 4<<$Ifa$gdl5bkd2$$Ifl30)*# tB*44 lapytvZ \ ^ ` b d p r ~ w_RK?hKlhy5OJQJ h#hh;hyCJOJQJaJh.j$h&Dh.jCJOJQJUaJhh&Dh.jCJOJQJaJhhNhyOJQJhNh=?OJQJhNh/VOJQJhKlh}^5OJQJhNh}^5OJQJhNh}^OJQJ(jh&Dh.jCJOJQJUaJh>jh&Dh.jCJOJPJQJU^JaJhmHnHo(ub d tg^ $Ifgd#  4$IfgdKl$<<$Ifa$gdl5zkdY$$IflFm)*i  tB*    44 lapytv  E q  {j[J[<<$If^gdh; & Fx$Ifgd.j<<$If^gd.j & F<<$Ifgd.j$<<$Ifa$gd:bkd$$Ifl 0)*# tB*44 lapyt#  @ \ x    D E F G S T U V W [ \ ] k l m n p q r s DzǚDztffh1$CJOJQJ^JaJ/jhvh.jCJOJQJU^JaJhh;CJOJQJ^JaJ/jKhvhvCJOJQJU^JaJ)jhvh.jCJOJQJU^JaJ hvh.jCJOJQJ^JaJ&h:h5CJOJQJ\^JaJ&h:h1$5CJOJQJ\^JaJ(    @ A I L \ i { ɱڣɋڣɣ}ooooooh:CJOJQJ^JaJh9CJOJQJ^JaJ/jhvhh;CJOJQJU^JaJhh;CJOJQJ^JaJ/j3hvhh;CJOJQJU^JaJ hvhh;CJOJQJ^JaJ)jhvhh;CJOJQJU^JaJ hvh.jCJOJQJ^JaJ$ !$&236CDFGJQTٳٳفhvh:OJQJ^J h:56CJOJQJ^JaJ&hvh:56CJOJQJ^JaJh:CJOJQJ^JaJ/jhvh:CJOJQJU^JaJ hvh:CJOJQJ^JaJ)jhvh:CJOJQJU^JaJ- GM9 & F<<$Ifgd:T<x$If^gdv8<<$If^8`gd.j&8<<$If^8`gd.j8<<$If^8gd:8<<$If^8`gd:  {ٳٛكuuh:CJOJQJ^JaJ/jwhvh.jCJOJQJU^JaJ/jhvh.jCJOJQJU^JaJh:CJOJQJ^JaJ/jhvh.jCJOJQJU^JaJ hvh.jCJOJQJ^JaJ)jhvh.jCJOJQJU^JaJ. /7{| )*4KLMN\ӾӦӾӎhvh.jCJOJQJaJ/j_ hvh.jCJOJQJU^JaJ/jhvh.jCJOJQJU^JaJ)jhvh.jCJOJQJU^JaJ hvh.jCJOJQJ^JaJh:CJOJQJ^JaJh:CJOJQJ^JaJ-\]^_`ghFH~m hvhh;CJOJQJ^JaJhh;CJOJQJ^JaJh:CJOJQJ^JaJ/jG hvh.jCJOJQJU^JaJhvh.jCJOJQJaJ hvh.jCJOJQJ^JaJ)jhvh.jCJOJQJU^JaJ/j hvh.jCJOJQJU^JaJ%@BFdpxvdddddVVHhW/CJOJQJ^JaJhCJOJQJ^JaJ"jhvCJOJQJUaJh.j hvhvCJOJQJUaJhhvhvCJOJQJaJh(jhvhvCJOJQJUaJhhvCJOJQJ^JaJ hvhvCJOJQJ^JaJhvh.jCJOJQJaJ hvh.jCJOJQJ^JaJh:CJOJQJ^JaJ8888h8x8z8888888899999 9 9999999999 9"9$9&9(9*9,9.90929ѿѪ߇|tpptpptpptppk ha 5h= cjh= cUhvhhkOJQJhvh.jOJQJ.jhuCJOJQJU^JaJmHnHu)j/ huCJOJQJU^JaJ#jhuCJOJQJU^JaJhuCJOJQJ^JaJ hvhvCJOJQJ^JaJUhCJOJQJ^JaJ*orted any problem events (unanticipated problems posing risks to subjects or others and incidents of non-compliance)?  FORMTEXT            PAGE \* MERGEFORMAT 2 14July2022 Form R.F.1 05/17/07 Page  PAGE 1 of  NUMPAGES 1 99999"9$9(9*9.9094969n9999gdv*gd9$a$ gdK@?gd4r gdiJkd $$Ifl)B* tB*44 lap ytv29496989f9h9j9l9n9z999999999999999999999999ô}}n}}}_}Th@^ha CJaJhG CJaJhmHnHuha CJaJhmHnHu jhha CJUaJhhha CJaJhhha CJaJha CJaJ h9ha h:6CJaJmHnHuh:6CJaJmHnHujh9UmHnHuh9mHnHuh9jh9Uha hL3ha 99999 gdigdv*999hvhhkOJQJh= c6&P1:p9/ =!"#$% n\U]PNG  IHDRK+gasRGB pHYs%%IR$tEXtSoftwareMicrosoft Office5q[IDATx^] `TxE*V9zjX!*V*VicDDkEhՆY<"w}M&M~Fݙf~3ҫB  B  #A#E@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒ!@ @dHT "KZ!@de QB ,i !DDUB 5@@YfU!BȒzGjnn[EmƊmB %3.՚<`sf6fیu0!Z]S翆55^=Z4D9=C7Ƭ1cmao $ 8o3cܜ; \ 3q&uD*L(\wpid򫵵 [5 -s{4])ЍYb5 l{gPٮ೟r!AD 2" B4t#S˨#:,q=/qr܋^&p^\G{;2Bm1}{DŽپfi 9eN`\z^,;Pz"1[YTUC81&Sm$|HryC"5?٥%DȒ€qEàȀ_YIQ)̎Ą{,Glˮ$Y3Qwo'"-fDO Ո#@dIKa`Hmnv=v)6pyR.qT9RlE,ƀ0BlARYW3K ުihOhy'(g6)@dL<AGcؒ/_-~ݖ3]']rH 98ݯ5Ǚ fݘ^=#Gn k9׽[1;LQBY2pUԂj3á[8Qi%Olͣ8&] dt~jvB -D8̎@zΚZ0{Nc`G!}cGg CǮ?@R{ AC ]aArÙS[}`mWV\6{Z)2TIK_.l/cBuE2{s%eNN TӃ$KxH;2hEoމ2ܼ6wQ8Mq)l 4 I̐̓Jq疻gj[l+8zp]}`+kh3Gnۢepֹe +\;K,Ȧv1ܷ*qJeYA#u ή<YM_Z"D8ʹo:dd}e#<[YV9ukUjkD7bEtSouu!@dk3> 6x;G FydȻ 2`C.'̥Z )2 FrẄBQ^YY^pUϋ]Yp,|i}(5,j"@dNz*H@:!q=T,(nW yilD ;+aS/#>t"ˍtbװ}c,}c%ڸ!u;T?}w }^c3x=#\J‡"@dzۮH~ mPdzYsjGᝰx&P::9_^nYnӻ~9c[|_t0&*^J >Zz6wAz4$-!(o6x"_ !}QIȸ> RcSAb iv!S-[dK}3rM{ ÐT0Q0j4T9~46U z"@dIk"+̼W tl%~>cbMڭwψ~SQ]}9qnzr] \;2f~tpޙsGuuu+Ө~` 1wH9YOVO4SYAH60,7 .ݭ 4w=t$Q"HMs,k wl |HeܠRԂ8벢w[ɸg1is |^;oU+o51pFvҤ'*pU6^0\~lxYnxs6|zl3xDOORHE3*i4Muf^`' jc/ȱQM[O7nWK̇f3>Ye klپ}fſCtfUO1.iio#oW~-k>gC 6cè勌hG* Sd18Y徯Mzn-0RmyYYu Vao3iA) %|HsufF#mGh jt,_fR=^ ӭL@mrнFg 8iåˊ|j>l]u`J~&8_c jpDbhywf(ڪ{K?$%q>#ϜZpjqzj XeYE ̕* 8 xi=\p~lYn6z퟇,u8_̩?Υ{!n-G.^ -(Q9ߚK{з0w^y1b*L~󱿁v 0Zh؎yJnTgGpkmҪS!F2k訡B\|[>=pϟS:έ鋘61BlQZFheSk{9);_ DI*" Lc4# .<%J-u4[` ,ԞUYޖK,ӍejF+I"8!ﭩpMEi3*؎KOڏڞA a6SRu=VW)SBa !0DYtn 5#5 f BVTő.Zg3-߫up=Vhaoʢ1). ~ SsH wp܆d}@DyiQ)DC ']L!vwOB<uav(.8qWHwF1?(b<ܱLV|Noz+~PS wƇ['fJ,MV ^ /*ꏴ>,7j$#%NmC$"ppBxq&9{bdZmԡ;"!. * 7mf`2Φ;ffتh32ځq"ccn,/8B`h Z)^(㶒W$(KT璌mU]}mA,B4?vhE  @dI`!Gؕyש2N$Wƃg@6j'G:m{1K`9e/ 熶5ψL X_8'(%PTbq ѫ8uبX?cg|~GBWu,s}㿴,5 ms \*f+%xt0~*!Arlq-v$7?09e/jH2}c%|QK}_Y!}r"ܘa1JElH0乶TFvR06&[Y<[ CX$,RK4,Nl`Yn`w4}¨pq| 1LlnG:{b.(S)omݞ: " k6VOԫnhM]\smʼn(yd=nΩ*[ `Cr×Ɩ|2g[ Q䶘8DRF- F$ZD8QlpYnpStyqH.v!dgK/mA¸L9" r6N ǘ"^}o3UO eBEşG`fiزϡ7dˆYiNt"ͷ)##-a尚 !@ W,PB`X!@d9:C":3/BVYpEr  =Y lbz¼ިiZMz?a4YVwjǫ-ooa6 {Lc̀bP›gU-rӽbȹl̡cz455̘>ܰ/d|4.h><'[?4XBd \7w3gs^g.f,P` <B>LR"L6AGs'`ٖEֆ|3 GnZ̯mmfKAF]圾ΖMfȯKqϵK^nj؛R$4)MTj\;jVK+K ݅ 'Kcܵ%GGiV!ډr- /D`'Kx*o[C~Xe36sifl(ךE24-Q+eLo%+TWOH 9=\L͛uX"5t=Y&Nm+CYzоe\"No#%gD#+!D.-q23)+^o3o;yeXv.v _ߍsozsc'"Of۱%KCٺ{N1Ñ`҂x^5} $qwt#lAN8_Tը_ #I,gITqİT1A~ D[ ?OTufڑg+ TN ͛1o`n,js?љ3R* RCô>1ݗt^ZS^t[tT.o*lD;c^d=Ya:kŅyy7#oz08hhw;Xǽ9 Yob=\)jv  =S"z3öm#\Fw Ɛ~;: TG)xBŗ_ЙRߒņS3eXcR sfuuuh5I`R)[D%#$OB;͈o4W-K ]Ql--B*n߮Aڷ=/ &"jjが;|CCZYp 4@7H/V_a;G9^ռU~#d睅+6mf~?=af5A"QCt۞,4qڻggv7~gcf]c`~EňCmGDy/ E]5 4Xm2&x+F:>Ljj(g{0ݏùʄikۗ+oI!^;Cr?y M.mh7m-$a %pk Hg#$#|+W\]lwB{|lQ,p [lݖ"N~B*Y5]BKEߟE, kwx[ p8^}Fs%x>V̀K-y'AYf>f-_kbwۢzo티oݡ#{U)T`-L]2vgQ 2L3 Q^H;{!N]RqŊJUkLx,]Om,oxHq\`.t {q5N ٿus| {IJŽCR2~ cש: 'NYS% ݘ ;4 PUj2A"9!*lGe- 2HKu&ܵztizzAg"R;$˘.Tc`d[])2ƤێdZ@w-//㈺+|%|>p^ {Rf;=[oRdm:VA 3~OI68*PgDDzHShT 70 Ux;_?GK(R{Yb HG}yE@9.8'#-7L8@x?VHimZ[m%qnY,p =m !AY'*؍l ^-"ip{J)\muaB|8x RW;0_GcսEuj0SEmd&\-1H_Ҍ}%BR:C_GC\i{{vy'.QHV`[lʹBT/xt(pn: ʙ>_") G29ZupMȧ VUFEq->* ]xesЏ*%f>;@jߌ4!1[hV *Y汇񲲂[p3mv,{Ҳ2)C_Ź2Bݯ k>qKWإxI+gmRf%r/8|dŐJCmzBI8 Rhf1wy0}oOu_Eѻ,6Q7V~>^DB9vAGKk.ŚǺ^/Md x-XV1ՌTN}Y3¸R{@3Lж8:enUVpAd{l~s[(vE^nzf1(ArAx(Qfpa Le $&(; YJX7UtE!h+"l'uxf9ʅu$7tre?^ QNLNUAXoׯA~Hĵb`fl]oNd5^]DC9 bHQ ;*IuLjr"&%vbJNl'aK9>f$`֓PCmW.2f HaD ;U32bVX&R9c\" O0Jۓj?n,H˰=*ᕨº;^'*.KZﲉ릾 1ԱcAQ/YBJZhzb0y 8[(F+`-0/@:㼠}?ltKS^s5,ΒVG>KX7;! .CZI+x$`[c0^/H x ~,q~Xكp2fh |X F3k.} )d?lIoC5U @8"rfcxjKަ/X݂ppvl$VU^GS%bO)n`Z ,-]( 4?igG1H`L8c3;aLde|9Ly=7pȢ_^axɞQz(l,1C0g Dv;:Rx$)%+1^6YiJ-tYAi  x8S]+e$ו]> aɱƀͽะ<bE0@]T0K4Q.Ll~kwWRYCIvƌ+V6{:O0S2fۦ$ʳnfPk~4=SQ^$<0W~!1tESgv;#Ͷ?V;"Kő}#9lk5 *j."Pر+M?r{`6߅zB2WNkK0MY'Tk>>% jV%h(aJR5fQp6;U- R=Ň5I^[ 3℃;8xl;>(+W6ڡ0bVVʘ: J^B!=EXV)0x x WT{vyɧq/~o)Siwm5$wkφ\m~6o;Q"ё*ʇ3]rJIAY%{h H[YW~x~5"n"DCǩO):ޟ< q-4 [䫳tz&p";>w%Qò~1 g/150.Bh .GNeݴP[[/`t,3aoy <9`cg "k?9v8KpZO΄>,%o}{g`A?V \([44r'r!~MK) )& _F5)B#]6"H'{OW 괉:'R]u 7/ҟ FZ&OJ (F=Ж5<+aK1)b t8l啕Γ]АBHYdymA _\̀m\2}L)M{0%6] *ZxWؚK)e0+ FIو3su.n¼L2-F"OX012 3PKWbɢ,h[8{yB;[)QGcۈon*bzB%r[9:zE ; #pZsyK$|l>g!a ,,Sy|pD&w@r@|rCgL y "L !];@zz?/3׈5 Ϳ}Bԝ }<jZͼ#P$jwX'SD=1q&r(A#w/3,T, O<@2*s=v4]?kjz'e"kate\UP%Tóo!;7y01/os28 2_f.!S{ Ypy4غl(qv!PꎫWV -%oȱv[+ DƓa"K ވ¥ " ,/aC!5>i~E.u]yߔGr_ib=ګ{Uu.w?L~\o؉Ob=/fH11Jv9B=@ Llp}`z3%1xMoa?vν1.z ⮺͢tDvA L rA¥]Z9HDiyx~ ;QfH.i BsHO.uaucL(򷋿xpc 5h$KfcvJ`XQ [8"/C9[V5l>F/~GDw?:0z 8_2+XO)TX ЏÜ]y8Pq\x/AP:RȿYGR "RZg*Jz9TPoF7e?wݿ9D ?s:(+8GL%:?a0zt|K6Q0[%dH[;BǢKwfXa2F<&$$L}|A<%_6o"Mn< "K. 0:f YߋO9CUsl̈r`@(Ά3SBXldY00JyPLxYzʏ/}[uh/$Wo!1 Q% YsߨCҢ0C(OG`+704BZ6J{$־{v\B`$K(7d< 2@`$ MUBD*@"@d3O&!@d9 2!@*DYFw mX|2f Yf7iOFd?1`^C_jor 3.+}Ͻa"ƴH$GKTB=Dq"|ns 1f<nƺ7DDBXH Jymց#D-{!*Q eMZ*BmjN?4+ȥ$iZaZ`F5Q )us]}yvs-=h1Y7{u{sD+6}!N{;*^Jrs>ֆeڸY>_2Hk''(c ~u|#FWd$=@:!^0z#Ÿ _@Jyc\ϔA, #-k۸#tm$G2@Wx˘FRqx'WiXxacnrs;RQDeʩ8Q&Oǣ] zL%]9)by: xu}m{W,VMe{d"u7 ;#tnŋTbHx h-vX׃D=vsJ ELS X 3 Ҝ( "A l){mJSrn&p?;;niqX0 R2⏕P9\Oa؄,,6|ck zquqCݗ 3y\V˔Ǖ:C2.tߩ%hy+^2DyJX d]eY~mk* &\S.yC8r2JR<ʿ%mQyϟ/f#E} UT 4Le z"HUȀ"r#oI4q^u{N7EMm:mr4<0΂4ƷB(ALcA)w'LpLsz?B >ַ3N2JʰP>籹A養(ڲ✍7:oҼԵ-䴡CܷQEnݣ$zY) s[Dh@T%Tz"GJՍ&$בnrJdՈ&Zfi0(Nn#;jkc03A?!Dg5qI[ޙu rH)H2"Ks aK +[a}֠ϖն 3≝#ɽwۀ߯H)w;mTZF{9d!2q"י2j]o7qkkz I"](t)* tg *sRg]*+Yʝ6QgnghXIptm= ,6]1Up) IղW[ᐿPTn ӕ>7-+$^PQGcwjȱe|;hεԵ]µw!Z!k``Ylg(vJbZe4H"fj@j: SN4 LlÑw L Ty"71 yIrkMLϿ`Nf8{9~(ԸҴ^yXM%7Bdql)<j;צR*(RGKYлEb߀Kf >ہ%kfW@8`-_9)otZ'ĿiXЂ2{ aUz1j}R D,a6Mc;?GZRd]t!;cN)`j?>Hf+Nue|SyX7&G ]׬ ΁%aL8v_[ߺ)Wod J]#<=><ݛw*@xtM6^{hnIoŌLL? :Ѕ6'X؊ I45G7X"R4r @rdL 1RJR\^6(xʴp;, 0+|0wԋ mNzzʲs̊$cѱ+Jj%L2߉,3g5GK+-xjKwQ2V0[\M^75HW9*yءa>׸[G![3eɴacx]b?CUUuͯ}f]\w5;[b×X95KJRݚ~b4s/5[[iY×;(Թ^28whS,y7nG 9Jd@~:gVosہa đ!X8[Oe[s)){=veYуu Mbk]Shzeϭ`ag+]y_EJSM;q1O̚1ھB ]T pvk'`>; l2XSnhȍ4Sg //ήK;+-d.m r\hZӎZT[ڼi|vYϥ,SAh' ^AѷX;k _FDv6VY> 9ӌ2˩6q?@y8`*_Q7 VyA{ [N tHS?` Xgȱu l -0k4xK7\&z# r]`ָ6̭:=jUh:G.  >YpC묏3彏M#¢} in_Ǽ Fѣͤ 㭳 l#M0R>b9ukWWZMtKr=O'I+f=KIAnx!=e,k*RnMT'a Fޟlq{h\!~ w:U47*0FlOcE׏X,h'ٚj#G>O{ފemp34άv.O1e#4 x{q2iC^/軞Yf&`N%ݨMJF/bgs ?]gGfy]Hyk׭~ԟG1f#S6Li|qcYfxU5'u3T1X)g3^RqMN^3`ZVd9~u|pVFGQ;%[_T~O}Ri\}q'okU: {[5,ski!%DYGB  ̭@Yf  ݘߖ4rz F!d ݢ,l7Y[3.n Mz LyTݕCq2] #[Eqr5JBVhg"`mӯ}m]/Yiy"+~_Y2Lk+":2-w&JwW#Q^gK]]?@*pX _mf)6vϡWY:J'emU`_9ӏ],P@*hpț:o`nXw?h>#Nm;0RlhpF!Ҍ.FSW/шҚF 1&R}sP9g jc_ʷ̗0Gd9 ѳBш~TbwaF; ;8Ȍ_#q9["U,rúumM^k1l^}N ZqxW"RF`R 靕yKMC˂ʲӝ>/q;2z]D[!oNB=snV2m?2`@ʭ{'vnF۶m0:rs@Xڑㅻ\l: 5]Zv]gAp5Jʘ<賂nt c&${JxNȼnV^40..}cݝߪh;&GxY,+ '1_zqڇeYg<<+XtD"6ⵈ%PMt/ۍkDtjy*n+v 0qXvcny}PUՒt l-_$íLgL)b9Ы[eiw \ T]|. c֫*,ۄ_;M}GT&QI.c+@4&^ $`x˟vKRsUkS.㺫q'dlxO>VY>} <ܬܳ7u>_xXI:b|Kٸar0N*.,U?fL$P% r׋:_K]ж#o}_ S*>8 5U)uTO +ydGbKx­+}ic\:@k*dH#bxu+[*?Ob @PMcmm\GJݐy%\ }*h;uWl!dl7D <`q}+>(g]F چ7Q8v9w7"֕Iv3XO2b!"dRf!= r*j]< p 2\JTm " -<]hzaWa@(EEt:GA7$2ݘ8igj ֐BQǢQ M{68QϓVh: BG"󺰂G3cw "v̝* 9T̠:娎{ĞL1q(r@@v(|+Wc36ZPYMp\(5j5cǥHO\6,A{Mt"FTk"U/샬a:D [Ҷ 0QeeE(x7E (&$ܐ.~BBm?$5;۩sa#HPüh3fe4OčL,PiƄ ~Wu0yP t3鬪%L*$RfQll[ m|;7,uˎvٌas.@z8u_fx˿0CnEp%D:fG{i㍗|ZE 44SjekpZc;-a;%a-ƄI˘4!F]YU櫓{rоvEq̲ם9kÝpvθ+xz!mo*"xJ5JH'ZL2R=@ʴzꤢG]b+aztED:4.)`fId9҈#F&uD#>8k~1LSKpB&Pj8俤 @dF1 "p+G*RMa|EF]͑ b/vV.o݆U8+]؉ڣbO8bRdp&{u^>ѵq"*9#*.ڼ)ۘDٰJ¬˲U'Z)=!80iұ0充-6zdzI+~&#uނpк'y۵tϾ<'I >u$󑺦wׅ1ڵ݇&!CU*疸)6ұʩA¾+z;5#زz9긿$QYSR>"8L/>쭸;JG (]{>_ I k\:6ݢ/=Ϛe:Uxl9CFC`gp>ƹڿz:p̗$>)=v<SJEj|3>\މt; L*J҈K9nId#LrUv%dIE4z\t#ս27YM`nbloDO(V,3?r2殺wSGڱ J1ͷǑc-46nT(*?[vsj,ٶg!R̬ɴMg굑:k,1jv'6ʀu8+F~_;@[VpEa\7<:)L6 t)|Ϊ14G.P ȥ/ @d969Hn=?y2mv#vK_R-R?61M4t.V=sms,Xob!?֯ JL*S@űL'ӯm.v0UUʞn-}l|u'|1O|>;tU/f?l.{9ƃ1' 섌ݛee=T,"Ci^%L+ιfzP,rNO TàB  _q|8ęV~0u bY0ac![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![Y|h B K,@n!@d[M%, 8jFen7 D2K!@D54ZB",f![?54'JBIENDB`$$If!vh#v*#v#:V l t0B*5*5#/  / ytvtDText1$$If!vh#v*#v#:V l3 tB*5*5#/  / / / pytvtDText1$$If!vh#v*#v#:V l3 tB*5*5#/ / / / / pytvtDText1$$If!vh#v*#v#vi :V l tB*5*55i / / / / / pytvtDText1$$If!vh#v*#v#:V l  tB*5*5#/ / / / / pyt#tDCheck8tDeCheck9tDeCheck8tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDeCheck9tDText1tDText2o$$If!vh#vB*:V l tB*5B*/  / p ytv'x02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List <P< Body Text 2$$CJNN Quick 1. & F01$^`0CJh@Z@@ Plain TextOJQJtH u0U !0 [t Hyperlink>*B*j3j [t Table Grid7:V0BQBB {$ Body Text 3x CJOJQJ4@R4 $Header  !4 @b4 $0Footer  !RrR jBody#$ <@&^ CJOJQJ82q8 jList 2 & Fx8/8 jList  & F CJOJQJ2B2 j Body TextxHH TXY Balloon TextCJOJQJ^JaJ.). >D Page Number./. i0 Footer Charff  List Paragraphd^m$CJOJPJQJ^JaJ< <kD0Revision_HmH sH tH B' B  Comment ReferenceCJaJ44 " Comment Text!:!: ! Comment Text Char@j@ $ Comment Subject#5\F/AF # Comment Subject Char5\FV QF  FollowedHyperlink >*B*phOr@`b@ z No Spacing&_HmH sH tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y #B 77ps$ Z \2999  |  b 999  (.@LREU\lM]v FFFFG$G,G$G,G,G,G,G,G,G,G,G,FF')QXZ_jls!!t ,b$U]&\8B[@L (    s nAF ? cid:image001.png@01CF191D.41D41DC0 ~&#y-#-#2$'k$ )/ 5r6";<2DAyYB~YB<DA<<~@";~@r6L65`G{2G*E*-0*-k$/031F.0y-~&#" `?B S  ?H0(   7@Text1Text2w  '/`i 333''66WXrsttVVTUqqAA{|#$ij}}u ''66WXrsttVVTUqqAA{|#$ij}}u v  W;C>M:"E&8Vy+Ӱ0u7ď*38la Ah@ESf`.^,JeؗaHrΰ r{4ΰ.^`o(. ^`hH. L^`LhH. ~ ^~ `hH. N ^N `hH. L^`LhH. ^`hH. ^`hH. L^`LhH.^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJ QJ o(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJ QJ o(hH808^8`0o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.0^`0o(.p0p^p`0o(.88^8`o()^`o(()^`o(()pp^p`o(()  ^ `o(.@ @ ^@ `o(.  ^ `o(.h88^8`.h^`.h L ^ `L.h  ^ `.hxx^x`.hHLH^H`L.h^`.h^`.hL^`L.h ^`hH)h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L. r{Je:"E`.^*380u7AA aHry+@EW;>_0 .(,QV45bTXb׷XXV45 zn>                                            jO¯                                   `GR}ZVUt9>f)HiZ-HG J o a ^   DV  d0>0ba01U+1A2,z2O373L3X&5c5h5C7x\89Kw9: ::@:Rh;h;?V=>i/>J>9T>^>=?K@?@l@_>AoZA\C yC>DkDDyD&3E%F: F&GFGRG{cGLH[4I@I^IkIqKYO>O\IO(PTPiP[T:T.BUBU8cUDV7WeX"8YTXY Z[C[k[\ _\@^}^2v_` a~7acaDbab= cUOcf~@f`fcfAg h!h@i'ijjj$jGjLdkhkBCmKo-p q1q8qEqr4r&t2Ju^w*Iwxy]y2y|H|:rNq83Qv}x Kl#; ,l_"Zd3n4)AH3M`#Yz#!5WwU4of.lz @%AQpaO}e koJrt06W`)u[t{Y .o7/V`tdh),u66n#7x)Yp7,A.3nrv*~w:z*hF" A){0m V?[}1r>.jv{'+,}a8HDSxdQa-Nc.:l5JL4Y3I%h#xsA>Cd$W/w #Q=K @ @ 00 0@008Unknown G.[x Times New Roman5Symbol3. .[x ArialE. Century GothicO  MS MinchoYu GothicC.,.{$ Calibri Light?= .Cx Courier New5. .[`)Tahoma7..{$ Calibri;WingdingsA$BCambria Math" 'h2G2Gsz'l l yQ!20  3q@P?[t*! xxa / %Reliance Agreement Update Report FormSandra A. BucklerOwens, Shannon@         Oh+'0 ( @L l x  (Reliance Agreement Update Report FormSandra A. BucklerNormalOwens, Shannon2Microsoft Office Word@F#@Nì@ \v@ \vl GVT$mT  ݙ  !1."System-"Systembo𢌅< -"System--@Times New Roman---@Times New Roman------  2 00  W---  2 0    0''  2 0 1  2 0    0''@Times New Roman--------- 2 00 14July 2 O0 2022---  2 g0    0''&TNPPAA Kj0)(KOOOOOOOOONOOOOOOOOOOOOOOOOoOOONOOOOOOOOOOnOOOOOOpOk(O{ C@ATPTAdT88 2b8OD@0Aa@b #O"@ C@!AP@ #` OED A@a@0@O B8#`OD A@!@@O 0 `Ẩ8OPPPEA@PA@@AUO 0OOO;*# :; O0Ac C@ @ 8b`! O0DSC@@BO 0 `00bO00E @@ W BO Ê 08O0C`@BK 0 018Np@EQ@qpQO*   OOOOO0OOK uTQPPQ@@UTTE@@O8??/:O @p p0p0O8p88< O p@ 0p0N88p 8`: O p@  pr8p9<88O pp@q 0qp8p8;cK p}A 0pxzÁ888 0pG0rO8p888cO pL qO88p 88O 0pp 0p0pOkp888`8o p p0ppO?O TP POOO?oOOOONO:OqOOOOQTOOquO'OgOOOOQQQPOOQQQQO9OOOF}OOqs#O{OqOOO/OOOOO?OOOOOOOOOOOOOOOPO OU@OOOOOOOOOOOOݙA Kj0)(Ks,u+ t, u+ u*w* v, u, t- w- z. {/ |/ }/ ~0 }0 z. y. u, s*u,u- {. x. v- w,t, s, x- s.1 s.r,t+ 4 s+ s+ z/ 2 t+ s+w*w, {. w3t,0 {/ ~/ w. v, w.v- w- t+|0 s*0 1 2 x- y. u.w.2 w. w, y- |/ s* 3 2 r*s- q* 1 t- 4 2 1 }0 *2 3 x. y/ u- 2 *q*|0 y.u* 1 3 2 3 s. t-s, u-y,y, {.w-y- v,4 s- x-3 3 v. u*3s-Hv+v-v. s,}/ u+r+ w3w"3 y/ n&z/ s*z- y-*n*6 u. f"y1w"w3{*s. }, n.q,w. n*n* {. x, x/ 1{,}.w"3 r- }. U&3r, w"N':!#d+ E   >f6 k771 % 6C4  ) C  +* +)Af +A;5<TT  / !GK  Cek% )%T!A^& ) e))Q   +f  3 ?'eNN Ve/^&NNk)X   &) .;]~! ^& % 0&KK   2!?U! 8?" 5<l,o=,U=!(<%+tq/ igG^A?], -]]L]?i]A 4 ,h7^?  4&A 3A+ 7! - 74E6+>7? X  G=3[@F)1D  uX5=[(+; +  A  X +,/&6; K==0kK  e  0 d%(M!b %+5;M< 3  K > 0 n 8d  GM# [ !n%)+ 1K CK+=0=^(=N ,V0    7 (f +)+ #^ T7dA, 6x^)30A' f7E ;%D,,0,!+A!CAAgG!^A^,^C@AghAAhAA1+=U0X3%7 pfMM/+ M0 l e=,'F7 0(  N Vp  F-  {U< K0T e  <<0@0  K( 0e <) X )  K% < 0 0  % T  Me<)   0  0<0 0> 80 *<)  7 0  )/< .00z  6 N1<  1Ey e <0!0      ^<%< 3  /  -<  !;  2 + 7 w      0 <0x)e 270 %^#N) 3 ? t++  < 7B%. ;  v!G 3  u<%%  0/  e  <2;e >   )  +<)    K0     )< +003 1  <%<)  0%0 e;)</0? 0   : % <) )A0)6-]^ )U< \M  < ?   67      Z [  3 Y ZT B)Q 0)B =) )11VENW N CN?XN O< 0P P%Q RST 1U(M   ) 0N7IJ0K   = L  =G   H6F 5 &% 0  3C0D 7E3,@A600 0B1   696:;<=>  ?) 7#(/8+  2  6 7   2  4561     / )   1 23   )1 0       - . /,%*  +  )(  ! ' (  &  $%  #   "   !                       &TNPP'0)@"Century Gothic---  2 E0)0  '0@"Century Gothic---  2 C0    2 Z0B  2 Z%0SPH IRB    2 Zl0R  2 Zw0ELIANCE   2 Z 0STUDY UPDATE      2 ZH0  2 ZM0FORM    2 Z0  @"Century Gothic--- 2 q0Use to  2 q0update   2 qL0B =2 qS!0SPH IRB on study activities under  2 q0   2 q0r 2 q0eview   (2 q<0by an external IRB.  2 q0    2 0  @"Century Gothic--------------- 42 0INSTUCTIONS FOR CHECK BOXES         2 0:--- 2 0 ---  2 0D   2 0O   2 0U 2  0BLE LEFT   2 0[ 52 0CLICK] TO ENTER A CHECK MARK          2 0  ---  2 0  '   *---  2 A*B 2 I*SPH    2 e*P 2 m *rincipal   *''  2 N*I 2 Q*nvestiga  2 *tor   2 *:  2 *  *'''MS Mincho------ @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .- ---  2   '''- @ !'-  - @ !*- - @ !w+-  - @ !-  - @ !- - @ !T-  - @ !- - @ !-  - @ !()- - @ !('-  - @ !(-  - @ !(- - @ !(-  *--- 2 j*IRB No.:   2 *  *'''------ @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .- ---  2   '''- @ !)- - @ !'- - @ !x*-  - @ !- - @ !U-  - @ !- - @ !-  - @ !)- - @ !'-  - @ !-  - @ !- - @ !-  *--- 2 O *External IRB   2 *:  2 *  *'''------ @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .-  @MS Mincho- - . 2  .- ---  2   '''---  2   '''- @ !)- - @ !'-  - @ !- - @ !r-  - @ !- - @ !-  - @ !- - @ !-  - @ !)- - @ !'-  - @ !-   - @ !- - @ !-  #*---  2 V*#  2 Z*#Study   2 }*#  2 *#Title:  2 *#  '#---@"Century Gothic- - - ---  @MS Mincho- - . 2 # .-   @MS Mincho- - . 2 # .-   @MS Mincho- - . 2 # .-   @MS Mincho- - . 2 # .-   @MS Mincho- - . 2 # .- - - -   2 #  #''---  2 #  '- @ !)- - @ !'-  - @ !- - @ !r-  - @ !- - @ !-  - @ !- - @ !-  - @ !#)- - @ !#'-  - @ !#-  - @ !#- - @ !#-  %*@"Century Gothic- - -  O2 83-*%Please complete this form and upload it with               72 8*%the most recent continuing re         2 8*%view approval       2 LB*%documentation     @2 L#*%into your PHIRST application as an             2 L*% 2 L*%Other Ad    ,2 L*%ministrative Submissio       2 L*%n   2 L*%.  2 L*%  2 L*%  @"Century Gothic- - - @"Arial---- - -  2 gH*%1.---  2 gT*% - - -  +2 g`*%Is the study complete        2 g*%  M2 g,*%and no longer active or under IRB oversight?             2 gD*%   %* %* '--pta- -'- - -   2 r*%  2 v*%Yes   2 *%  %* %* '--t- -'- - -   2 *%  2 *%No   2 *%  - - -  2 H*%2.---  2 T*% - - -   2 `*%H   2 j*%a  #2 t*%s your (and the      2 *%B  X2 3*%SPH) role in the project changed since the initial               2 C *%reliance    2 *%ag  2  *%reement was      2 `*%signed?  2 *%   2 *%   %* %* '--pa- -'- - -   2 r*%  2 v*%Yes   2 *%  %* %* '--- -'- - -   2 *%  2 *%No   2 *%  - - -  2 H*%3.---  2 T*% - - -  2 `*%Have any    2 *%  X2 3*%changes been approved by the reviewing external IRB               2 0*%  2 3*%that cou   2 q*%ld   #2 *%affect the BSPH       2 ` *%local context    &2 *%? If yes, please      22 2*%identify those changes by       2 *%chec   2 *%k 2  *%ing   2 6*%  2 :*%the   2 R*%  2 V*%appr  2 y*%opriate     2 *%  2 *%box(es)    2 `*%below:    2 *%   %* %* '--!pa- -'- - -   2 r*%   2 v*%  2 z*%Cha  2 *%nges   2 *%  2 *%to   2 *%the   2 *%   2 *%B  2 *%SPH   2 *%  2 *%study   2 =*%  2 A*%team m  2 z*%embe   2 *%rs/co   2 *%- 2 *%inve  2 *%st 2 *%igators    2 ,*%  2 0 *%who will be     2 *% 2 *%engaged   2 *%  2 *%  2 *%in    2 1x*%hum  2 1*%an   2 1*%  2 1 *%subjects re     2 1*%s 2 1*%ear  2 1 *%ch activities      2 1s*%. 2 1w*%   2 1*%  @"Century Gothic--- 2 Kx*%If  2 K*%checked  2 K*%, p  ^2 K7*%lease submit an administrative amendment to add/remove                   2 K*%B   2 K*%SPH personnel     - - - ---------  2 ]x*%from the study   - - -   2 ]*%.---  2 ]*%   2 ]*%  - - -  %* %* '--ypja- -'- - -   2 wr*%   2 wv*%  2 wz*%Changes   2 w*%  2 w*%to    2 w*%t 2 w*%he  2 w *%recruitment     2 wH*%plan    2 wh*%  2 wl*%for par   2 w *%ticipants a    2 w*%t th  2 w*%e   2 w *%B  2 w*%SPH    2 w5*%s 2 w;*%ite.   2 wQ*%   %* %* '--pa- -'- - -   2 r*%   2 v*%  2 z*%Changes   2 *%  2 *%to t  |2 K*%he process for obtaining informed consent, including identifying the study                      #2 x*%staff who will o     .2 *%btain informed consent.          2 *%   %* %* '--pa- -'- - -   2 r*%   2 v*%  2 z*%Changes   2 *%  2 *%to t  )2 *%he data security pla       #2 i*%n, if that is a    2  *%BSPH respons     2 "*%ibility   2 E*%.  2 I*%   %* %* '--pa- -'- - -   2 r*%   2 v*%  2 z*%Ch  2 *%anges   2 *%  2 *%to t  C2 %*%he data and/or biospecimen sharing pl             2 *%an, incl   72 #*%uding proposals about future           F2 x'*%use of data/specimens collected at the              2 *%B  2  *%SPH site.    2 *%   %* %* '--pa- -'- - -   2 r*%   2 v*%  2 z*%Changes   2 *%  2  *%to the ap    k2 @*%proved study documents that could affect the local site review,                  2 x*%i  2 {*%n  2  *%cluding cha     2 *%ng  2 *%es  2 *%that   2 *%  #2 #*%could require re       2 *%-  2 *%review by our      2  *%ancillary    2 B*%  2 F *%reviewers    2  *%(P&T, COI,     2 'x *%HIPAA, etc.)      2 '*%.  2 '*%   %* %* '--Cp4a- -'- - -   2 Ar*%   2 Av*%  2 Az*%Changes   2 A*%  G2 A(*%that relate to institutional policies or              2 A*%   2 A*%l 2 A *%ocal site    2 A*%  2 A *%legal/  2 A4*%regulato    2 Ar*%ry re  2 A *%quirements     2 A*%.  2 A*%   %* %* '--]pNa- -'- - -   2 [r*%   2 [v*%  2 [z*%Changes   2 [*%  +2 [*%to your research acti        2 [U*%v 2 []*%it 2 [e*%ies  2 [w*%, fundin   2 [*%g,  2 [*%or   2 [*%   2 [*%a  @2 [#*%nything else that could affect the             2 [*%B  2 [*%SPH    12 mx*%IRBs responsibility for       2 m *%oversight    2 mV*%  82 mZ*%of activities associated with            2 m'*%B  2 m0*%SPH   2 mO*%investig   2 m*%ators    2 m*%.  2 m*%   @2 `#*%Please explain the changes that you             2 h*%  2 l*%ha  "2 *%ve checked off     2 *%above  2 **%in t  2 ?*%he s  2 \ *%pace below.     2 *%  - - - - - - - - -   2 `*%   2 f*%   2 l*%   2 r*%   2 x*% - - -   2 ~*%  - - -  2 H*%4.---  2 T*% - - -  2 `*%Has the   2  *%PI of the    2 *%sIRB   2 *%stu  2  *%dy r  2 '*%ep  2 ; *%orted any    &2 *%problem events (un      /2 *%anticipated problems pos         2 *%ing    2 `*%risk  2 v*%s  2 |*%  :2 *%to subjects or others and incid          2 Z *%ents of non     2 *%- 2 *%comp   2 *%liance)   2 *%?   2 *%   2 *%   2 #*%   2 +*%   2 3*%   2 ;*%   2 C*%  '- @ !#'- - @ !#)- - @ !%)- - @ !x#*- - @ !x%*-  - @ !#- - @ !%- - @ !S#- - @ !S%-  - @ !#- - @ !%- - @ !#-  - @ !&)- - @ !&'-  - @ !'-  - @ !&- - @ !&-  - @ !-  ---  2 00    0''"Arial--   00//.. ՜.+,D՜.+,|8 px  School of Medicine Document  &Reliance Agreement Update Report Form TitleL0{ ? _PID_HLINKSContentTypeIdwic_System_CopyrightARc#cid:image001.png@01CF191D.41D41DC0,0x0101004155565EAFA8F649BAD851EE6368F827  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOQRSTUVWYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstyz{~Root Entry FE]v} Data P1TableX-PWordDocument^SummaryInformation(DocumentSummaryInformation8mMsoDataStore @4]v]vXVVKUQBRIU==2@4]vp]vItem  PropertiesSZ4BUEO2A==2 @4]vp]vItem  Properties O5B0OZRPI==2@4]v]vItem 2Properties  !"#$%' DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89qCompObj&r