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INFORMED WRITTEN CONSENT FOR PUBLICATION OF MATERIAL

INFORMED WRITTEN CONSENT FOR PUBLICATION OF MATERIAL 2026

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The document is a Patient Consent Form for the publication of material in Pediatric Anesthesia, outlining the requirements for obtaining informed consent from patients or their guardians. It emphasizes the need for explicit consent when individuals may be identifiable in publications and details the process for submission to the editorial office. The form includes sections for signatures and dates from both the parent or legal guardian and, if appropriate, the child.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'TITLE OF ARTICLE' at the top of the form. This identifies the specific work for which consent is being granted.
Next, fill in the 'AUTHORS' section with the names of all authors involved in the publication. This ensures proper attribution.
Review each consent statement carefully. Check the box indicating your agreement to allow publication and understand that anonymity cannot be guaranteed.
If you are a parent or legal guardian, sign and print your name in the designated area, along with the date.
If applicable, have the child indicate assent by signing and printing their name, along with the date.
Once completed, save your document and submit it via the Scholar One Manuscripts site as instructed.

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