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Voluntary Withdrawal of Consent from a Clinical Trial Clinical S.O.P. No. 37 Version 1 Compiled by: Approved by: Effective date: 18 January 2016 Review date: 18 November 2016 Voluntary Withdrawal
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How to fill out voluntary withdrawal of consent
How to fill out voluntary withdrawal of consent:
01
Obtain the necessary withdrawal of consent form. This form may be available on the organization's website, or you may need to request it from the appropriate department or individual.
02
Read the instructions carefully. Make sure you understand the purpose and implications of withdrawing your consent.
03
Provide your personal information. Fill in your name, address, contact information, and any other details requested on the form.
04
Specify the date of the withdrawal. Indicate the exact date when you are choosing to withdraw your consent.
05
State the reason for the withdrawal. Briefly explain the reason behind your decision to withdraw consent. Be honest and straightforward, but keep it concise.
06
Sign and date the form. Verify that all the required fields are complete and then sign and date the document.
07
Keep a copy for your records. Make sure to keep a copy of the filled-out form for your own reference.
08
Submit the form. Follow the instructions provided to submit the withdrawal of consent form to the appropriate department or individual.
Who needs voluntary withdrawal of consent?
01
Individuals who no longer wish to grant their consent to a particular organization, program, or service may need to fill out a voluntary withdrawal of consent form. This could include withdrawing consent for the use of personal data, participation in research studies, or permission to access certain services.
02
Those who have previously given their consent but have changed their minds or believe their consent was given under misleading circumstances may choose to withdraw their consent.
03
In situations where an individual feels their rights or privacy may be compromised by continuing to grant consent, they may opt for a voluntary withdrawal of consent to protect their interests.
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