This form is used by the Academy of Family Physicians National Research Network (AAFP NRN) to identify the IRB affiliated with each provider or practice in the network and collect essential contact information for the affiliated IRB. It also alerts the AAFP NRN if the practice or provider is not affiliated with an IRB, or if they don't know of such an affiliation. Click here to download.
Courtesy of the American Academy of Family Physicians National Research Network's (AAFP NRN) Collaborative Care Research Network (CCRN).  http://www.aafp.org/online/en/home/clinical/research/natnet.html