St. Boniface Hospital Research

The Office of Clinical Research on this website provides you with a host of documents designed to help you with your research.

Each of the following files is provided in either Adobe Acrobat format (PDF), Microsoft Word format (DOC) and / or Microsoft Excel format (XLS). By clicking on the document's filename the appropriate file will be loaded in your browser window.

To download the files below, please right-click on the graphic link OR the text (if a link exists) and choose "Save target As".

Forms

• 3rd Party Consent
• Chart Identifier
• FDA 1572
• Phone Log (1)
• Phone Log (2)
• Project Feasibility Review
• Project Worksheet
• Qualified Investigator Undertaking Form (Drug Products)
• Qualified Investigator Undertaking Form (Natural Health Products)
• Research Retrieval Fees
• RRC Budget Form
• SBGH Consent template
• Serious Adverse Events form

Templates

• PHIA Form 
• Request for Access to Medical Records and / or Statistical Data
• Laboratory Services Request
• REB Submission Forms
• Part D - RRC Submission Form
• U of M REB - Final Study Status Report

Reference Documents

• Basic Protocol Template
• Investigator's Qualifications & Agreements
• Manual of Standard Operating Procedures for Clinical Trial Investigators
  published by the Office of Clinical Research, St. Boniface General Hospital
• HSC Impact Form -Contact Karen Shaw-Allan for more information 787-4968

Grant Information

• Agilent Technologies
  (905) 282-0511
• Anemia Institute
  (416) 969-7431
• Manitoba Medical Service Foundation
  (204) 788-6801
• Mead Johnson Fund
• St. Boniface General Hospital and Research Foundation
  (204) 237-2067
• University of Manitoba Research
  (204) 474-9404
• Western Economic Diversification Canada
  (888) 338-9378
• Winnipeg Regional Health Authority Canadian Health Services Research Foundation
  (204) 926-7000