Wallet Card Templates
MUHC policy requires the Principal Investigator to provide to each person participating in research with a therapeutic component, a “wallet-size information card” including the MUHC or IRB study code, name of study drug(s) or medical device, and emergency contact number.
You may use the appropriate wallet card template below that is designed for printing on “Avery Business Card Stock 5371”. The template may be printed as a single card or a single page.
We suggest the cards be printed double-sided in English and in French versions to allow the subject to carry bilingual information on a single wallet card.
MS Word documents
- Drug Study Template [.doc]
- Medical device study template [.doc]
- Carte medicaments [.doc]
- Carte instruments [.doc]
PDF documents
- Drug Study Template [.pdf]
- Medical device study template [.pdf]
- Carte medicaments [.pdf]
- Carte instruments [.pdf]