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CORNERSTONE INFORMED CONSENT FORM Name of Participant (Last) (First) (M) Date of Birth: Male Female (Month) (Day) (Year) Participants ID Number (To be Completed by CCD Staff) It is important that
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How to fill out cornerstone informed consent form
How to fill out cornerstone informed consent form:
01
Start by reading the entire form carefully to understand the purpose and requirements of the informed consent.
02
Fill in your personal information accurately, including your full name, contact details, and any other relevant identification details.
03
Provide a detailed description of the purpose of the study or procedure for which the informed consent is being obtained. This should include a clear explanation of the risks, benefits, and alternative options available.
04
Make sure to include any specific instructions or requirements mentioned in the form, such as signing or initialing certain sections or providing additional documentation.
05
If applicable, include any relevant medical history or current medications that may affect your participation in the study or procedure.
06
Carefully read any statements related to confidentiality and data protection, and provide consent or any necessary permissions as indicated.
07
Take note of any potential risks or side effects mentioned in the form and indicate your understanding and acceptance of them.
08
If you have any questions or concerns about any aspect of the informed consent form, it is important to ask for clarification from the relevant authority or healthcare provider before signing.
09
Sign and date the form in the designated spaces to indicate your consent and understanding of the provided information.
Who needs cornerstone informed consent form:
01
Individuals who are participating in a research study or clinical trial that requires informed consent.
02
Patients who are undergoing medical procedures or treatments that involve inherent risks and require informed consent from the individuals involved.
03
Parents or legal guardians who are giving consent on behalf of a minor or someone who may not have the legal capacity to provide informed consent.
04
Any individual who is voluntarily participating in a program or activity that requires informed consent to ensure they are aware of the potential risks and benefits involved.
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