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Get the free Informed consent form to take part in a research study - SurveyGizmo

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CCI Committee on Clinical Investigations Page 1 of 7 **FOR CCI USE ONLY** Approved by the Beth Israel Deaconess Medical Center Committee on Clinical Investigations: Administrator: APPROVED BY THE
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How to Fill Out Informed Consent Form:

01
Begin by carefully reading the form: Take the time to understand the purpose and content of the informed consent form. Pay attention to any specific instructions or requirements mentioned.
02
Provide personal information: Fill in your full name, date of birth, contact details, and any other requested personal information accurately. Ensure that the provided information matches your identification documents.
03
Understand the research or procedure: Familiarize yourself with the research study or medical procedure that the informed consent form pertains to. This will help you make an informed decision about whether or not to give your consent.
04
Seek clarification: If you have any doubts or questions about the research or procedure, don't hesitate to ask for clarification from the appropriate party, such as the researcher or healthcare provider.
05
Consider risks and benefits: Evaluate the potential risks and benefits associated with participating in the research or undergoing the medical procedure. Assess how they align with your personal preferences and values.
06
Sign and date the form: If you decide to give your informed consent, sign and date the form in the designated section. Make sure to use your legal signature.
07
Keep a copy: It is important to retain a copy of the completed informed consent form for your records. This way, you can refer back to it if needed.

Who Needs an Informed Consent Form:

01
Participants in research studies: Individuals who are invited to participate in research studies, whether they are medical, psychological, or sociological in nature, typically need to fill out an informed consent form. This ensures that they are fully aware of the research objectives, possible risks, and their rights as participants.
02
Patients undergoing medical procedures: Medical procedures that involve potential risks or experimental treatments may require the patient to give their informed consent. This form acknowledges their agreement to undergo the procedure after being informed about the details, potential risks, and alternatives.
03
Legal scenarios: In certain legal situations, such as before participating in clinical trials or giving medical consent on behalf of a minor or incapacitated individual, an informed consent form may be necessary. This ensures that all parties involved are fully informed and protected under the law.
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Informed consent form is a document that provides information to a participant about the risks, benefits, and procedures of a research study or medical treatment, and ensures that the participant voluntarily agrees to participate.
Researchers, healthcare providers, or individuals conducting a study or providing medical treatment are required to provide informed consent forms to participants.
To fill out an informed consent form, the individual must read all the information provided, ask any questions they may have, and then sign the document to indicate their voluntary agreement to participate.
The purpose of informed consent form is to protect the rights and well-being of participants in research studies or medical treatments by ensuring that they are fully informed and voluntarily agree to participate.
The informed consent form must include information about the purpose of the study or treatment, potential risks and benefits, procedures involved, confidentiality of data, and contact information for any questions or concerns.
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