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UAB IRB SAMPLE CONSENT FORM ENGLISH (with HIPAA Authorization) VERSION DATE: 06.21.23Note: It is not possible to address all scenarios for all types of studies conducted by UAB researchers. This sample
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01
Obtain the informed consent form from the office.
02
Explain the purpose and potential risks of the procedure to the patient.
03
Allow the patient to ask any questions they may have.
04
Have the patient read and fill out the form completely.
05
Ensure the patient understands the contents of the form before signing.

Who needs informed consent - office?

01
Any individual who is undergoing a procedure or treatment at the office that carries potential risks or side effects should be required to fill out informed consent.

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Informed consent in an office setting refers to the process in which a patient or participant is provided with comprehensive information about a procedure, treatment, or study, and voluntarily agrees to participate or proceed, understanding the risks, benefits, and alternatives.
Healthcare providers, researchers, or any personnel conducting procedures or studies involving patients or participants are required to file informed consent in an office setting.
To fill out informed consent, it is necessary to clearly outline the procedure, risks, benefits, and alternatives; collect the signature of the participant or patient; and retain a copy for records while providing a copy to the participant.
The purpose of informed consent is to ensure that participants or patients are fully aware of what they are consenting to, respect their autonomy, and protect their rights in healthcare or research settings.
Informed consent documents must report information such as the nature of the procedure, potential risks and side effects, expected benefits, alternative options, and the right to withdraw at any time.
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