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The document is a consent form for the Recovery and Academic Program (RAP) services provided by Montgomery County Public Schools (MCPS) and The Landing, a program of Family Services, Inc. It outlines the client's information, consents for services, and authorizations for the release of confidential information between the two entities to facilitate educational programming and recovery support. The form emphasizes that participation is voluntary but requires disclosure of certain information to receive services.

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2018	4.8 Satisfied (26 Votes)

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Can you write your own consent form?

If you prefer to write your own consent document, you may do so, but be sure to include all required elements of informed consent.

What is a sample consent form?

Consent Form Templates The Consent Form used in a study should be edited to match requirements of the specific study: It should include information about the investigator, the topic under study, and a clear description of purpose, risks, and benefits.

How do you write a brief 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].

What is an example of a form of consent?

I agree to participate in this research project. I have read this consent form and the information it contains and had the opportunity to ask questions about them. I understand that I am under no obligation to take part in this project. I understand I have the right to withdraw from this project at any stage.

What is a form consent?

The consent form is intended, in part, to provide information for the potential subjects current and future reference and to document the interaction between the subject and the investigator. However, even if a signed consent form is required, it alone does not constitute an adequate consent process.

How to write a simple consent form?

Follow these steps to write an effective consent form. 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.

What is a short form consent form?

The Short Form Consent Document is written in a language the non-English speaking subject or their Legally Authorized Representative can read and understand. It summarizes the information the investigator must tell the participant before consent, but it does not contain study-specific information.

What is an example of a consent form?

I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I understand that I will be given a copy of this consent form.

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See more form consent versions

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Can you write your own consent form?

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What is a form consent?

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What is a short form consent form?

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