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Patient LaBelle FORM STATEMENT OF INFORMED CONSENT Aspires Location (Select One)Wausau Stevens Inpatients NAME: Operative and Other Procedures (Address Laterality in the description)I hereby authorize
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How to fill out statement of informed consent
01
Read the entire statement of informed consent carefully.
02
Make sure you understand all the information provided.
03
If you have any questions, clarify them with the person or organization administering the consent.
04
Fill in all the required personal information accurately.
05
Review the risks, benefits, and alternatives mentioned in the statement of informed consent.
06
Provide your signature and date to indicate your agreement and understanding of the consent.
07
Keep a copy of the filled-out statement of informed consent for your records.
Who needs statement of informed consent?
01
Statement of informed consent is needed by individuals participating in research studies, medical procedures, clinical trials, or any situation where their consent is required before proceeding with a certain activity.
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What is statement of informed consent?
A statement of informed consent is a document that outlines the risks, benefits, and details of a procedure or involvement in research, ensuring that participants understand what they are agreeing to and voluntarily consent to participate.
Who is required to file statement of informed consent?
Researchers, medical professionals, and institutions conducting clinical trials, research studies, or medical procedures involving human subjects are required to file a statement of informed consent.
How to fill out statement of informed consent?
To fill out a statement of informed consent, provide clear information about the study or procedure, including its purpose, duration, required procedures, potential risks and benefits, confidentiality assurances, and provide a section for participants to sign indicating their voluntary agreement.
What is the purpose of statement of informed consent?
The purpose of a statement of informed consent is to protect participants by ensuring they understand the nature of the study or procedure, the risks involved, and their right to withdraw at any time, thereby promoting ethical standards in research and medical practices.
What information must be reported on statement of informed consent?
The statement must include the title of the study, name of the researcher, purpose of the study, procedures to be followed, risks and benefits, confidentiality information, and the participant's right to withdraw.
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