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ADOLESCENT PARTICIPANT ASSENT FORM
(Age 1418 years)
The International PyridoxineDependent Epilepsy Registry
Principal Investigator:Dr. Clara van Karnebeek, MD, Department of Pediatrics, UBC
Center
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How to fill out adolescent participant assent form

How to fill out adolescent participant assent form
01
Explain the purpose of the research study to the adolescent in a language they can understand.
02
Provide information about what will be asked of the participant and any potential risks or benefits involved.
03
Allow the adolescent to ask questions and express any concerns they may have.
04
Clearly outline the voluntary nature of their participation and their right to withdraw at any time.
05
Have the adolescent sign the assent form if they agree to participate, or indicate their refusal if they do not wish to participate.
Who needs adolescent participant assent form?
01
Adolescent participants who are under 18 years old and are being recruited for a research study.
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What is adolescent participant assent form?
The adolescent participant assent form is a document used to obtain agreement from minors to participate in research studies, ensuring that they understand the study's purpose, procedures, and any potential risks.
Who is required to file adolescent participant assent form?
Researchers conducting studies involving minors are required to file the adolescent participant assent form to ensure ethical standards and compliance with regulations.
How to fill out adolescent participant assent form?
To fill out the adolescent participant assent form, provide clear and age-appropriate language explaining the study, include spaces for the participant's name and signature, collect the date, and ensure a witness confirms understanding.
What is the purpose of adolescent participant assent form?
The purpose of the adolescent participant assent form is to confirm that the minor has been informed about the study in a comprehensible manner and agrees to participate, thereby respecting their autonomy and rights.
What information must be reported on adolescent participant assent form?
The adolescent participant assent form must report the participant's name, age, the study description, any potential risks, benefits, confidentiality assurance, as well as the participant's signature and date.
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