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Office only Date form received: ___Authorize on and Informed Consent Form for Background Check(s) IMPORTANT: Faith Commune BS are responsible for all record keeping and follow up associated with this
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Understand the purpose of the authorization and informed consent form.
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Who needs authoriza on and informed?

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Anyone who is participating in a research study or clinical trial may be required to fill out an authorization and informed consent form.
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Patients undergoing medical treatment or procedures may also need to fill out these forms to ensure they understand the risks and benefits involved.
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Authorization and informed consent is the process of obtaining permission from a person before conducting a specific activity or treatment, with the person being fully informed about the details.
Healthcare providers, researchers, and organizations are typically required to obtain and file authorization and informed consent.
Authorization and informed consent forms are typically filled out by providing detailed information about the activity or treatment, risks and benefits, and obtaining the signature of the person giving consent.
The purpose of authorization and informed consent is to ensure that individuals have a full understanding of what they are agreeing to and to protect their rights.
Authorization and informed consent forms must include details about the activity or treatment, potential risks and benefits, alternatives, and the person's rights.
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