Get the free INFORMED CONSENT STATEMENT AND OFFICE POLICY 112014.doc
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1DBTCenterofOrangeCounty
369SanMiguelDrive,Suite200
Newport Beach,CA92660
Phone9494807767:Fax94920919776200ECanyonRimRoad,Suite212
AnaheimHills,CA92807INFORMEDCONSENTSTATEMENTANDOFFICEPOLICY
ThefollowingstatementanswerssomeimportantquestionsconcerningtheDBTCenterofOrangeCounty
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How to fill out informed consent statement and
01
Read and understand the content of the informed consent statement.
02
Fill out the personal details, such as name, age, and contact information.
03
Review the purpose of the study or procedure for which the informed consent statement is required.
04
Ask any questions or seek clarification from the person providing the informed consent.
05
Carefully read through each section of the statement and make sure you understand the risks, benefits, and alternatives related to the study or procedure.
06
Sign and date the informed consent statement indicating your voluntary agreement to participate or proceed.
07
Keep a copy of the signed informed consent statement for your records.
Who needs informed consent statement and?
01
Anyone who is participating in a research study or clinical trial.
02
Patients undergoing medical procedures where informed consent is required.
03
Individuals involved in certain activities that may have associated risks and require acknowledgement of understanding and agreement.
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What is informed consent statement?
An informed consent statement is a document that outlines the necessary information provided to individuals about the risks, benefits, and purpose of a procedure or study, enabling them to make an educated decision about their participation.
Who is required to file informed consent statement?
Researchers or organizations conducting studies involving human participants are required to file an informed consent statement.
How to fill out informed consent statement?
To fill out an informed consent statement, one should include details such as the purpose of the study, procedures involved, risks and benefits, confidentiality measures, and the participant's rights, along with a signature section for the participant.
What is the purpose of informed consent statement?
The purpose of an informed consent statement is to ensure that participants are fully aware of what their participation involves and to safeguard their autonomy and rights in the research process.
What information must be reported on informed consent statement?
The informed consent statement must report information including the study's purpose, procedures, possible risks and benefits, confidentiality assurances, and the participant's right to withdraw.
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