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IRB Approved: 2/11/2022 Approval Expires: 1/10/2023MED. REC. NO. ___ NAME BIRTHDATE___ ___IRB#: __22560___CLINICAL RESEARCH CONSENT AND AUTHORIZATION SUMMARY OF KEY INFORMATION ABOUT THIS STUDY TITLE:

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Obtain a copy of the CI consent and authorization form.

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Fill out all personal information accurately, including name, address, date of birth, and contact information.

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Who needs ci consent and authorization?

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Individuals who are participating in a clinical trial or research study that involves the collection and use of confidential information.

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What is ci consent and authorization?

CI consent and authorization is a form that allows for the sharing of information within the context of a specific agreement or arrangement with a third party.

Who is required to file ci consent and authorization?

Any party that wishes to share confidential information with a third party is required to file CI consent and authorization.

How to fill out ci consent and authorization?

CI consent and authorization forms can typically be filled out online or in paper form, requiring specific information about the parties involved and the nature of the information being shared.

What is the purpose of ci consent and authorization?

The purpose of CI consent and authorization is to protect the confidentiality of sensitive information and ensure that all parties involved are aware of the terms and conditions of information sharing.

What information must be reported on ci consent and authorization?

CI consent and authorization forms typically require information about the parties involved, the type of information being shared, the duration of the agreement, and any restrictions on the use of the information.

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