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PM FORM 3.11.1 (Version en Español) SUBSTANCE ABUSE PREVENTION PROGRAM AND EVALUATION CONSENT 2010 2011 SCHOOL YEAR Dear Parent or Guardian, White Mountain Apache Behavioral Health Services (AHS)
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01
Start by carefully reviewing the exhibit vi-1 model consent form. Familiarize yourself with the purpose and requirements of the consent form.
02
Fill in the personal information section accurately. This may include your full name, contact information, and any other details requested, such as your date of birth or social security number.
03
Read the instructions provided on the form and ensure you understand them. If you have any doubts or questions, seek clarification from the appropriate authority or legal professional.
04
Review the content of the consent form, which typically outlines the specific consent being given. This could include the sharing of personal information, participation in a study or research project, or granting permission for certain actions.
05
If there are checkboxes, tick the relevant ones that apply to your situation. Double-check to ensure you have accurately selected the appropriate options.
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If there are fields for signatures, sign the form using your legal signature. Ensure that your signature matches the name provided in the personal information section to avoid any inconsistencies.
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If required, date the form at the designated area. Use the appropriate date format as specified in the instructions.
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Carefully review all the information provided. Double-check for any errors or omissions. If you spot any mistakes, make the necessary corrections before submitting the form.
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Keep a copy of the filled-out consent form for your records. It is essential to have a personal copy to refer back to if needed.
Who needs exhibit vi-1 model consent?
01
Individuals participating in studies or research projects that require written consent from the participants.
02
Organizations conducting activities that involve the sharing or usage of personal information and require consent from the individuals affected.
03
Any individual who wishes to grant explicit permission for a particular action or sharing of information outlined in the exhibit vi-1 model consent form.
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What is exhibit vi-1 model consent?
Exhibit vi-1 model consent is a form where individuals consent to the use of their likeness or personal information for a specific purpose.
Who is required to file exhibit vi-1 model consent?
Anyone using the likeness or personal information of individuals for commercial purposes is required to file exhibit vi-1 model consent.
How to fill out exhibit vi-1 model consent?
Exhibit vi-1 model consent can be filled out by providing the necessary information about the individual whose consent is being obtained, the purpose of use, and any other relevant details.
What is the purpose of exhibit vi-1 model consent?
The purpose of exhibit vi-1 model consent is to ensure that individuals are aware of and agree to the use of their likeness or personal information for a specific purpose.
What information must be reported on exhibit vi-1 model consent?
Exhibit vi-1 model consent must include the name of the individual, details of the intended use of their likeness or personal information, and any other relevant information.
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