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Appendix C Consent form Department of Primary Care and Public Health Imperial College London Room 320, Reynold s Building St Duns tan s Road London W6 8RP Tel: +44 (0)20 7594 0799 Study Protocol Number:

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How to fill out blank informed consent

To fill out a blank informed consent, follow the steps below:

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Begin by carefully reading the entire consent form to understand its contents.

02

Provide your personal information, such as your full name, date of birth, and contact details, where required.

03

Review and understand the purpose and nature of the research or medical procedure for which the consent is being obtained.

04

If there are any risks or potential side effects associated with the research or procedure, make sure to review and comprehend them before proceeding.

05

Seek clarification from the researcher or healthcare professional regarding any aspects you may not fully understand.

06

If you feel comfortable with the information provided and agree to participate or undergo the procedure, sign and date the consent form.

07

If you have any concerns or doubts about the consent form, express them to the researcher or healthcare professional and do not proceed until you are satisfied.

The individuals who need to fill out a blank informed consent form can vary depending on the context. Generally, anyone who is about to participate in a research study, undergo a medical or surgical procedure, or engage in any activity that carries certain risks or requires their consent will need to fill out an informed consent form. This includes patients in healthcare settings, participants in clinical trials or research studies, and individuals receiving specialized treatments or therapies. The purpose of obtaining informed consent is to ensure that individuals have a thorough understanding of the risks and benefits involved, allowing them to make an informed decision about their participation or treatment.

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What is blank informed consent?

Blank informed consent refers to a form or document that must be completed to obtain permission from participants before they take part in a study or procedure, ensuring they understand the risks and benefits involved.

Who is required to file blank informed consent?

Researchers, healthcare providers, and organizations conducting studies or medical procedures involving human subjects are required to file blank informed consent.

How to fill out blank informed consent?

To fill out blank informed consent, individuals must provide accurate information about the study or procedure, including its purpose, risks, benefits, and any alternative options, and must ensure participants sign and date the form.

What is the purpose of blank informed consent?

The purpose of blank informed consent is to ensure that individuals are fully informed about what their participation entails and to protect their rights and autonomy in making decisions about their involvement.

What information must be reported on blank informed consent?

The information that must be reported on blank informed consent includes the study's purpose, procedures, potential risks and benefits, confidentiality assurances, and the right to withdraw at any time without penalty.

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