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INFORMED CONSENT/AUTHORIZATION FORM Research Study Title: A pilot study of prostate cancer specific anxiety in active surveillance Name of Principal Investigator: Aaron Pinkhasov, MD Name of Investigator(s):
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How to fill out informed consentauthorization form

01
To fill out the informed consent authorization form, follow these steps:
02
Obtain a copy of the form. This can usually be done by contacting the relevant organization or healthcare provider.
03
Read the form carefully to understand the purpose and implications of providing informed consent.
04
Fill in your personal details accurately, including your full name, date of birth, and contact information.
05
Review the information provided and make sure you understand any risks, benefits, or alternative options mentioned.
06
Sign and date the form to indicate your consent and agreement to participate or authorize the specified activity.
07
If applicable, have a witness sign the form to verify your signature.
08
Make a copy of the signed form for your own records, if desired.
09
Return the completed form to the appropriate person, organization, or healthcare provider as instructed.
10
Note: It is recommended to seek clarification or consult with a professional if you have any questions or concerns before signing the form.

Who needs informed consentauthorization form?

01
Informed consent authorization forms are required in various situations such as:
02
- Medical and surgical procedures
03
- Clinical research or experimental studies
04
- Participation in clinical trials
05
- Mental health treatment or therapy
06
- Use of personal information for research or data collection
07
- Financial agreements or contracts
08
- Any situation where an individual's permission or authorization is needed before proceeding with a specific activity or treatment.
09
It is important to note that the specific requirements for informed consent authorization may vary depending on the country, state, or organization involved.
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An informed consent/authorization form is a document that explains the risks and benefits of a medical treatment or procedure and allows the patient to make an informed decision about their care.
Health care providers are required to have patients sign informed consent/authorization forms before performing certain medical treatments or procedures.
To fill out an informed consent/authorization form, the patient or their legal guardian must read and understand the information provided, ask any questions they may have, and sign the form to indicate their consent.
The purpose of an informed consent/authorization form is to ensure that the patient understands the risks and benefits of a medical treatment or procedure, as well as any alternative options, before giving their consent.
The informed consent/authorization form must include information about the treatment or procedure being performed, the risks and benefits involved, any alternative options available, and the patient's consent.
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