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Consent and grant mean that you allow someone to do something, while approve (of) and assent just mean that you like or agree with what someone is most likely going to do anyway.
The takeaway: For consent legal, formal, at least 18 years old, and must include capacity, voluntariness, and knowledge. Assent under age 17, or does not have the capacity to formally consent, but still has the right and should be given the dignity to informally communicate agreement or disagreement.
There are two types of consent that a patient may give to their medical provider: express consent and implied consent. Express consent is typically done in writing, while implied consent is typically conveyed through a patients actions or conduct.
Assent is an agreement by an individual not competent to give legally-valid informed consent (e.g., a child aged 7-17 or cognitively-impaired person) to participate in research. Please review the Research Guidance Document on Assent for more information about requirements, etc.
What is the difference between consent and assent? Consent may only be given by individuals who have reached the legal age of consent (in the U.S. this is typically 18 years old). Assent is the agreement of someone not able to give legal consent to participate in the activity.
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An assent form is different from an informed consent form, and is specifically designed to simply indicate that the minor is willing to participate in the study and understands what he or she will be expected to do as part of the study.

assent form