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Psychological Sunrise Center, LLC Dr. Dina Racer, Pay. D. 29834 N. Cave Creek Rd. Ste 118 PMB-241 Cave Creek, AZ 85331 Phone/Fax: (480)563-3587 www.psychologicalsunrisecenter.com INFORMED CONSENT
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How to fill out informed consent agreement signature:

01
Read the informed consent agreement thoroughly to understand all the terms and conditions.
02
Ensure that you comprehend the nature of the activity or procedure for which you are providing consent.
03
Provide your full name, address, and contact information accurately in the designated fields.
04
Carefully review each section of the agreement and make sure to clarify any doubts or concerns with the healthcare professional or relevant authority.
05
Sign and date the informed consent agreement in the designated spaces to indicate your understanding and agreement to the terms.
06
If required, provide additional information or signatures for witnesses or legal representatives as instructed.

Who needs informed consent agreement signature:

01
Patients undergoing medical procedures or treatments that involve risks, such as surgeries, experimental drugs, or clinical trials.
02
Participants in research studies or experiments that require consent for data collection, analysis, or monitoring.
03
Individuals engaging in activities or programs that entail potential hazards, such as extreme sports, physical training, or adventure activities.
04
Minors or their legal guardians who need to provide consent for medical or research purposes.
05
Participants in psychological or counseling sessions that require informed consent for treatment or therapy.
06
Any individual who is explicitly asked to provide consent for legal or ethical reasons to protect their rights and well-being.
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The informed consent agreement signature is a form signed by a participant in a study, agreeing to participate after being informed about the study details and potential risks.
Researchers conducting studies involving human subjects are required to obtain and file informed consent agreement signatures.
The informed consent agreement signature should be filled out by providing all necessary study information, risks, benefits, and obtaining the signature of the participant.
The purpose of the informed consent agreement signature is to ensure that participants are fully informed about the study and voluntarily agree to participate.
The informed consent agreement signature must include study details, risks, benefits, participant rights, and researcher contact information.
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