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Clark County Public Health Department 997 N York St, Martinsville, IL 62442 Phone: (217) 3824207 FAX: (217) 3824226 http://www.clarkhd.orgCOR KEYSTONE INFORMED CONSENT FOR M Name of Participant (Last)(First)(M)Date
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Carefully read the consent statements and make sure you understand the implications and consequences of giving your consent.
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This form is typically used in medical or research-related scenarios where individuals need to provide consent for medical procedures, clinical trials, participation in studies, or sharing of personal information.
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The cchd-cornerstone-informed-consent-formdocx is a document used to obtain informed consent from individuals participating in a specific program or research related to congenital heart disease.
Individuals or institutions conducting research or programs that involve patients diagnosed with congenital heart disease are required to file the cchd-cornerstone-informed-consent-formdocx.
To fill out the cchd-cornerstone-informed-consent-formdocx, participants must provide personal information, details of the study or program, and indicate their understanding and agreement to participate by signing the form.
The purpose of the cchd-cornerstone-informed-consent-formdocx is to educate participants about the study or program, ensure they understand the implications of their participation, and obtain their consent.
The information that must be reported includes participant details, the nature of the program or study, potential risks and benefits, and methods for confidentiality.
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