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Vanderbilt University Institutional Review Board Informed Consent Document for Research Principal Investigator: Peter Konrad, MD PhD Study Title: Restoration of Standing and Walking Through ISMS in
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How to fill out a screening consent form:

01
Read through the form thoroughly. Make sure you understand the purpose of the screening and the information that will be collected.
02
Provide your personal information. Fill in your full name, date of birth, address, and contact details accurately.
03
Review the consent statement. This section will outline the purpose of the screening, how your information will be used, and any potential risks or benefits associated with participating.
04
Sign and date the consent form. By doing so, you are acknowledging that you understand and agree to the terms stated in the form.
05
If applicable, provide any additional requested information. This could include providing your medical history, answering specific questions related to the screening, or indicating any medications you are currently taking.
06
Review the completed form for accuracy. Ensure that all the information provided is correct and legible.

Who needs a screening consent form:

01
Anyone who is participating in a screening or research study that requires their personal information or medical history.
02
Individuals who are undergoing a medical procedure or treatment that necessitates gathering personal data.
03
People who are involved in employment or educational screenings that require disclosure of certain information.
04
If you are unsure whether you need to fill out a screening consent form, consult with the organization or healthcare provider conducting the screening. They will be able to provide you with the necessary information and guidance.
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A screening consent form is a document signed by an individual to give permission for screening or testing.
Individuals who are undergoing screening or testing are required to file a screening consent form.
To fill out a screening consent form, the individual must provide their personal information, sign the form, and indicate their consent for the screening or testing.
The purpose of a screening consent form is to ensure that the individual agrees to undergo the screening or testing and understands the potential risks and benefits.
The screening consent form must include the individual's name, contact information, date of birth, type of screening or testing, and signature indicating consent.
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