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Samantha Endicott Therapy Samantha L. Endicott, M. Ed., PCC, & Wellness Coach 101 Wind Haven Dr., Ste #202 Nicholasville, KY 40356 INFORMED CONSENT, CONFIDENTIALITY, & OFFICE POLICIESCLIENT NAME:
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Read through the informed consent form thoroughly to understand its contents.
02
Provide all necessary personal information, such as your name, date of birth, and contact information.
03
Understand the purpose of the study or procedure for which the informed consent is required.
04
Clearly understand the risks and benefits associated with the study or procedure.
05
Ask any questions you may have regarding the study or procedure before signing the consent form.
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Review any alternative treatments or procedures that may be available.
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Seek clarification on any unfamiliar medical terms or jargon used in the consent form.
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Take your time to carefully read each section of the consent form and make sure you comprehend everything.
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If you agree to participate or proceed with the study or procedure, sign and date the informed consent form.
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Keep a copy of the signed informed consent form for your records.

Who needs informed consentpages?

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Informed consent pages are typically required for any individual who is participating in a study, clinical trial, medical procedure, or research project. This includes patients, volunteers, subjects, or participants who may be involved in various healthcare or research activities.
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Informed consent pages are documents that provide participants in a research study or medical procedure with essential information about the study or procedure, including its purpose, risks, benefits, and alternative options, ensuring they can make an informed decision about their participation.
Researchers and institutions conducting clinical trials or studies involving human participants are generally required to file informed consent pages.
To fill out informed consent pages, researchers should include details such as the study's title, objectives, procedures, potential risks and benefits, confidentiality assurances, and a statement that participants can withdraw at any time.
The purpose of informed consent pages is to ensure that participants understand what they are agreeing to, thereby protecting their rights and welfare during the research process.
Information that must be reported on informed consent pages includes the study's purpose, duration, procedures, potential risks and benefits, confidentiality measures, and how to contact the researchers or ethical board.
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