Describe Each Modification

REQUIRED: For each proposed modification, describe the currently approved procedures, forms, etc., then summarize the proposed change, addition, etc. Include a justification for the modification request. Add additional sheets if necessary.

Example

Currently Approved: study staff as listed on attached SP List Template.

Proposed Revision: add Jane Doe, MD, as co-investigator. Dr. Doe has completed human-subject-protections training, is a new faculty member who will work with subjects on this protocol, and is authorized to obtain consent.

1 Currently Approved

Proposed Revision

Currently approved 1
Proposed revision 1

2 Currently Approved

Proposed Revision

Currently approved 2
Proposed revision 2

3 Currently Approved

Proposed Revision

Currently approved 3
Proposed revision 3