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What is consent form example?

I participant name, agree to participate or agree to participation of my child participant name in the research project titled project title, conducted by researcher(s) name who has (have) discussed the research project with me. I have received, read and kept a copy of the information letter/plain language statement.

How do you write a short consent form?

All sections of the consent form, except the Consent section, should be written in second person (You are invited). Headers should include Informed Consent followed by the title of the study (e.g., the header in this document). Footers should include page numbers.

What is a short form written consent document?

A short form consent document attests that the elements of informed consent, as required by DHHS and the FDA, have been presented orally to either the participant or the participants legally authorized representative. The IRB Office has Short Form Consent Templates available in English and other languages.

What should be written in a consent form?

The consent form must include: A statement that the study involves research. Purpose of the research. Procedures. Risks or discomforts to the subject. Benefits of the research to the subject. Treatment Alternatives. Costs of Participation. Confidentiality.

How do you write a simple consent form?

I agree to take part in [describe what involvement the individual will have e.g. an interview] and for the information I provide to be shared with the [area] Partnership agencies and this in turn allows services that I use to share information about me and my family for the purpose of this [research / activity].

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