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

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When a written consent or parental permission form is used that embodies some or all of the elements of informed consent required by the regulations at 45 CFR 46.116, the regulations only require that the informed consent or parental permission document be signed by the subjects or the subjects legally authorized
Its also important to remember the 4 Cs of consent: clear, continuous, conscious, coercion-free: Clear: Communication, both verbal and nonverbal, with a partner is crucial.
How to write a consent form: A step-by-step guide Step 1: Title and introduction. Step 2: Description of the activity. Step 3: Risks and benefits. Step 4: Confidentiality and data handling. Step 5: Voluntary participation and withdrawal. Step 6: Consent statement. Step 7: Signature and date. Step 8: Contact information.
I hereby provide consent for the publication of the manuscript detailed above, including any accompanying imag- es or data contained within the manuscript that may directly or indirectly disclose my identity (or that of my child/ ward/relative if signed by a parent or legal representative).
The primary types of informed consent weve covered include written, verbal, electronic, and implied consent. Each type serves specific research contexts and participant needs. Understanding Informed Consent is crucial for researchers to ensure participants are fully aware of the studys purpose, risks, and benefits.

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Consent for publication statement example Consent for publication in journal Consent for publication statement Springer Consent to publish declaration Consent to participate Statement example Consent for publication Not applicable Consent for publication BMC Patient consent form for publication

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Patient Consent for Publication

I give permission for images of my face or distinctive body markings to be published and recognize that I might therefore be identifiable even though my name

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Sep 2, 2016 The text below reflects the changes made by the FOIA Improvement Act of 2016 [1] , and is categorized by headings and sub-headings to facilitate linking within

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