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Date VA Biorepository Brain Bank/ALS Study VA Boston Healthcare System 150 South Huntington Avenue Boston, MA 02130Patient Consent for Contact RE: Patient Name DOB Below please find a signed authorization
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To fill out the www.research.va.gov/programs/tissue-banking-permission-to-contact form, follow these steps:
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Visit the website www.research.va.gov/programs/tissue-banking-permission-to-contact.
03
Fill in your personal information, including your name, contact information, and address.
04
Provide information about the tissue banking program or research study you are interested in.
05
Indicate your willingness to participate and permission to be contacted.
06
Agree to any terms and conditions specified by the form.
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Review your information and make sure it is accurate.
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Click the submit button to complete the form.
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You may receive a confirmation message or email stating that your form submission was successful.

Who needs wwwresearchvagovprogramstissuebankingpermission to contact form?

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Anyone who wishes to participate in a tissue banking program or research study through www.research.va.gov may need to fill out the tissue banking permission to contact form. This form allows researchers and program administrators to reach out to individuals who are interested in participating or learning more about the programs offered.

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The wwwresearchvagovprogramstissuebankingpermission to contact form is a form used to obtain permission from individuals to contact them for tissue banking purposes.
Researchers and organizations conducting tissue banking activities are required to file the wwwresearchvagovprogramstissuebankingpermission to contact form.
The form can be filled out electronically or on paper, providing the necessary contact information and obtaining consent from the individuals.
The purpose of the form is to ensure that individuals are aware of how their tissue samples will be used and to obtain their permission for contact regarding tissue banking.
The form must include the individual's contact information, consent for contact regarding tissue banking, and any specific preferences or restrictions.
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