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RESEARCH CONSENT FORM Protocol Title:Phonecard Postpartum Continuing Care: Smoking Cessation Beginning in PregnancyStudy No.:HP00054014Principal Investigator: Katrina Mark, MD, 4103284204 Sponsor:National

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How to fill out research consent form

01

Read the research consent form carefully to understand its purpose and the information it requires.

02

Fill in your personal information such as your name, address, date of birth, and contact details.

03

If applicable, provide any relevant medical or health information that may be necessary for the research study.

04

Review and understand the risks and benefits associated with the research study, and indicate your willingness to participate by signing and dating the form.

05

If you have any questions or concerns regarding the research study or the consent form, consult with the researchers or professionals involved before signing.

06

Make a copy of the filled-out consent form for your own records.

07

Return the completed research consent form to the appropriate authority or research team as instructed.

Who needs research consent form?

01

Anyone who is participating in a research study needs to fill out a research consent form. This includes volunteers, patients, or individuals who are willing to provide information or participate in research activities.

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