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RESEARCH CONSENT FORM Transplant Use Plate or Print: DO NOT PLACE IN MEDICAL RECORD MAN#: Protocol Title: Hand Transplantation DOB: Principal Investigator: Amir Tahini, MD Subject’s Name: Gender:
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How to Fill Out a Research Consent Form:

01
Read the entire research consent form carefully to fully understand its contents.
02
Provide your personal information accurately and completely, including your full name, contact details, and any other details requested.
03
Review the purpose and nature of the research study described in the form. Ensure that you understand its goals and objectives.
04
Familiarize yourself with the procedures involved in the research study. This may include surveys, interviews, observations, or any other data collection methods.
05
Pay attention to any potential risks or benefits associated with participating in the research. Evaluate whether you are comfortable with the potential consequences of your involvement.
06
Consider any alternatives to participating in the research study, if applicable. If there are no alternatives, make a decision based on your own judgment.
07
Ask any questions or seek clarification from the researchers if you have any doubts or concerns. It is essential to have a clear understanding before providing your consent.
08
Sign and date the consent form to indicate your agreement to participate voluntarily in the research study.
09
Keep a copy of the signed consent form for your records and return the original to the researchers or the appropriate authority.

Who Needs a Research Consent Form:

01
Individuals who are invited to participate in a research study as potential subjects where consent is required.
02
Participants who are unable to give consent on their own (e.g., minors, individuals with cognitive impairments) often require a legally authorized representative to provide consent on their behalf.
03
Researchers and institutions conducting the research study need a signed consent form from the participants to ensure ethical conduct and compliance with regulations.
04
Institutional review boards (IRBs) or ethics committees responsible for overseeing research studies often require researchers to obtain written consent from participants as part of the approval process.
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A research consent form is a legal document that provides information about a research study to potential participants and ensures their voluntary participation after understanding the risks and benefits.
Researchers or institutions conducting a research study are required to file a research consent form.
To fill out a research consent form, participants need to read and understand the provided information, ask any questions for clarification, and then sign the form indicating their voluntary agreement to participate.
The purpose of a research consent form is to protect the rights and welfare of research participants by providing them with necessary information, ensuring voluntary participation, and documenting their informed consent.
Research consent forms typically include information about the study's purpose, procedures, potential risks and benefits, confidentiality, participant's rights, contact information, and any compensation or incentives.
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