Written consent form sample
[DOC File]Telephone Consent example
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Person Obtaining Consent. I have read this form to the subject. An explanation of the research was given and questions from the subject were solicited and answered to the subject’s satisfaction. In my judgment, the subject has demonstrated comprehension of the information. The subject has provided oral consent to participate in this study.
[DOC File]EXAMPLES OF WORDING FOR INFORMED CONSENT FORMS
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The form should be written in the second person (e.g., you are invited to participate, you will be asked, etc.), except for the very last item, the “Statement of Consent.” The use of bulleted lists, tables, and/or pictures may be helpful to explain study procedures, timelines, inclusion/exclusion criteria, etc.
[DOCX File]Consent form for Publication - Springer
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Please keep this consent form in the patient’s case files. The manuscript reporting this patient’s details should state that ‘Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient/parent/guardian/ relative of the patient. A copy of the consent form is available for review ...
[DOC File]Sample Consent Form with HIPAA Authorization (FOR206)
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This sample is designed to assist you in creating your consent form. It is intended to show language preferred by the UAB IRB to address the required elements of informed consent. In many cases, the sample language will need to be modified, deleted, or expanded for the particular study.
[DOC File]Sample Consent Form - Simple Blood Draw
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SAMPLE CONSENT FORM – SIMPLE BLOOD DRAW (July 2015) PLEASE NOTE: This form is a sample and requires editing for each specific study, particularly the statements in italics and the statements in brackets. UNIVERSITY OF CALIFORNIA, SAN FRANCISCO. CONSENT TO BE IN RESEARCH. Study Title: [Insert study title here]
Informed Consent Form Template for clinical trials
[Informed Consent form for _____ _____] Name the group of individuals for whom this informed consent form is written.Because research for a single project is often carried out with a number of different groups of individuals - for example healthcare workers, patients, and parents of patients - it is important that you identify which group this ...
[DOC File]Written Consent to the Dissolution of Company
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OF. LEGAL-NAME-OF-YOUR-COMPANY. WE, THE UNDERSIGNED, being all the shareholders entitled to vote, do hereby give our written consent to the dissolution of LEGAL-NAME-OF-YOUR-COMPANY, a corporation duly organized and existing pursuant to the New Mexico Business Corporations Act, §§53-11-1 through 53-18-12 NMSA 1978.
[DOCX File]Sample Template: Documentation of the Informed Consent …
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Discussed, explained and reviewed the consent form with subject. Subject was given time to review the consent form and to discuss participation in this study with family members/others. All of the subject’s questions were answered/concerns addressed.
[DOC File]SAMPLE SHORT FORM WRITTEN CONSENT DOCUMENT
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SAMPLE SHORT FORM WRITTEN CONSENT DOCUMENT. FOR SUBJECTS WHO DO NOT SPEAK ENGLISH. THIS DOCUMENT MUST BE WRITTEN IN A LANGUAGE. UNDERSTANDABLE TO THE SUBJECT. Consent to Participate in Research. You are being asked to participate in a research study.
[DOCX File]INFORMED CONSENT FOR DERMAL FILLER TREATMENT
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The purpose of this informed consent form is to provide written information regarding the risks, benefits and alternatives of the procedure named above. This material serves as a supplement to the discussion you have with your doctor/healthcare provider. It is important that you fully understand this information, so please read this document ...
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