Digital Health Research Ethical Approval Application Form

Applicant Information

Name Email Address Affiliation Role/Position

Project Details

Project Title Project Summary Proposed Start Date Proposed End Date

Research Methodology

Describe the Research Methods Participant Details and Recruitment Types of Data Collected

Ethical Considerations

Consent Procedures Data Privacy and Security Measures Assessment of Risks and Mitigation

Additional Information

Has this project received previous ethical approval? Yes No Other Comments