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This document is a consent form for a clinical study examining the safety and efficacy of treating HCV in individuals coinfected with HIV, utilizing a combination of drugs including Boceprevir, Pegylated-Interferon
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How to fill out Consent to Participate in a Research Study and Research Subject HIPAA Authorization

01
Read the entire document carefully to understand its purpose and implications.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide the name of the research study you are participating in.
04
Review the section explaining the purpose of the research and what participation entails.
05
Sign and date the consent form, indicating your agreement to participate.
06
If applicable, fill out the HIPAA authorization section, allowing researchers to access your health information.
07
Make sure to retain a copy of the signed documents for your records.

Who needs Consent to Participate in a Research Study and Research Subject HIPAA Authorization?

01
Individuals participating in research studies involving health-related information.
02
Researchers conducting studies that require informed consent for participation.
03
Healthcare providers involved in studies that necessitate access to patient health information.
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Consent to Participate in a Research Study is a participant's voluntary agreement to take part in research after being informed of the study's purpose, procedures, risks, and benefits. Research Subject HIPAA Authorization is a form that allows researchers to access and use a participant's protected health information in accordance with HIPAA regulations.
Researchers and institutions conducting studies involving human participants are required to file Consent to Participate in a Research Study and Research Subject HIPAA Authorization to ensure compliance with ethical standards and federal regulations.
To fill out these forms, individuals must carefully read the provided information, indicate their understanding and agreement by signing and dating the form, and provide any necessary personal information, such as contact details and health information, as required by the study.
The purpose is to ensure that participants are fully informed about the research study, their rights, and the use of their health information, thereby promoting ethical standards and protecting participant privacy and rights.
The information must include the study's purpose, duration, procedures, risks, benefits, confidentiality measures, the voluntary nature of participation, and details on how health information will be used and shared.
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