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Moderate, Inc./ Protocol Number mRNA1273P301Page 1 of 25INFORMED CONSENT FORM AND AUTHORIZATION TO USE AND DISCLOSE PROTECTED HEALTH INFORMATION Sponsor / Study Title:Moderate, Inc / A Phase 3, Randomized,

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How to fill out informed consent form and

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Step 1: Read and understand the purpose of the informed consent form.

02

Step 2: Provide your personal information, such as name, age, and contact details.

03

Step 3: Carefully read through each section of the form and its contents.

04

Step 4: Seek clarification if you have any questions or concerns.

05

Step 5: Consent to the terms and conditions by signing and dating the form.

06

Step 6: Keep a copy of the signed form for your records.

Who needs informed consent form and?

01

Informed consent forms are needed in various situations where individuals need to make informed decisions about medical procedures, research studies, participation in clinical trials, mental health treatments, surgical interventions, and other situations where risks and benefits need to be clearly communicated.

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What is informed consent form and?

Informed consent form is a document that explains the procedures, risks, and benefits of a specific treatment or research study to a patient or participant.

Who is required to file informed consent form and?

Medical professionals, researchers, or anyone conducting a study or treatment that requires informed consent from participants.

How to fill out informed consent form and?

To fill out an informed consent form, one must carefully read and understand the information provided, ask any questions for clarification, and sign the form to indicate understanding and agreement.

What is the purpose of informed consent form and?

The purpose of informed consent form is to ensure that individuals have all the necessary information to make an informed decision about participating in a treatment or research study.

What information must be reported on informed consent form and?

The informed consent form must include details about the treatment or study, potential risks and benefits, alternatives, confidentiality, and the participant's rights.

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