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National Institute of Allergy and Infectious Diseases/ Protocol Number A5395Page 1 of 18INFORMED CONSENT FORM AND AUTHORIZATION TO USE AND DISCLOSE PROTECTED HEALTH INFORMATION Sponsor / Study Title:National
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How to fill out informed consent form and

01
Step 1: Read the informed consent form carefully to understand the purpose, procedures, risks, and benefits of the study.
02
Step 2: Provide necessary personal information as requested on the form, such as name, age, contact details, etc.
03
Step 3: Review and understand the consent statement that explains your voluntary participation in the study.
04
Step 4: Ask any questions or seek clarification from the researcher or study team regarding any concerns or doubts.
05
Step 5: Sign and date the informed consent form to indicate your agreement to participate willingly in the study.
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Step 6: Keep a copy of the informed consent form for your records, if desired.
07
Step 7: If applicable, ensure that a legally authorized representative also reviews and signs the informed consent form on behalf of the participant.

Who needs informed consent form and?

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Informed consent forms are typically required for individuals who participate in research studies, clinical trials, medical procedures, or any activity where their voluntary participation and understanding of associated risks and benefits are crucial. This includes participants in scientific studies, patients undergoing medical treatments, and individuals involved in social or behavioral research. The specific requirement for an informed consent form may vary depending on the nature of the activity and the ethical guidelines of the organization or institution conducting it.
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An informed consent form is a document that ensures a participant understands the research or treatment they are about to undergo, including its purpose, procedure, risks, and benefits.
Researchers, physicians, or organizations conducting clinical trials or medical procedures involving human subjects are required to file informed consent forms.
To fill out an informed consent form, provide detailed information about the study or treatment, including its nature, risks, benefits, procedures, and ensure the participant understands before they sign.
The purpose of an informed consent form is to protect the rights of participants by ensuring they are fully informed and voluntarily agree to participate.
The informed consent form must report information such as the purpose of the research, procedures involved, potential risks and benefits, confidentiality assurances, and the right to withdraw.
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