Summary: JAMES A. HALEY VETERANS' HOSPITAL Research Service Operating
TAMPA, FLORIDA, 33612 Policy Memorandum
10-1086 Informed Consent: Documentation and Filing of ICF
a. To inform individuals conducting research at the James A. Haley Veterans'
Hospital of Department of Veterans Affairs requirement that VA Form 10-
1086 must be used to document informed consent for all studies conducted at
VA facilities using VA subjects.
b. To inform investigators of the procedures for filing the original copy of the
c. To provide investigators and research staff information regarding policies,
procedures and forms required for Research Informed Consent
a. Effective January 7, 2002 all Research Consent Forms must be submitted on
VA Form10-1086. The VA form 10-1086 must be used for all new studies,
amendments and continuing reviews for ongoing studies submitted to the
b. Effective May 2006 the VA 10-1086 was revised combining research Consent