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Get the free Name Date of Birth HSC RESEARCH CONSENT FORM PARENT - chssdc

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Name: Date of Birth: HSC #: RESEARCH CONSENT FORM PARENT VERSION Title of Research Project: Congenital Heart Surgeons Society (CHESS) Studies in Congenital Heart Diseases Investigators: Dr. Brian
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Start by writing your first name in the designated space. Avoid using any nicknames or aliases, and ensure that it is spelled correctly.
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Next, write your last name. Double-check for any typographical errors and ensure that it matches any official documentation you might have.
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In the date of birth section, provide the month, day, and year of your birth. Be accurate and use the format specified (e.g., MM/DD/YYYY or DD/MM/YYYY).

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Remember to provide accurate and truthful information when filling out name and date of birth fields, as this information may be used for official purposes and any inaccuracies can have various consequences.
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Name date of birth refers to the full name and birthdate of an individual.
Anyone who needs to provide official identification or verify their identity may be required to provide their name and date of birth.
To fill out name and date of birth, simply write your full name followed by your birthdate in the required format (e.g. Month/Day/Year).
The purpose of name and date of birth is to uniquely identify individuals and verify their identity.
The information that must be reported on name and date of birth includes the individual's full legal name and their birthdate.
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