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Informed Consent Statement form Studys Official Title: Validation of Indianas Early Evaluation Hub System (EAER21) NCT Number: NCT06586788 Date of document: 09152021IU IRB ICS Version 09.15.20211806262614
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How to fill out informed consent statement form

01
Read the informed consent statement thoroughly to understand its purpose.
02
Provide the name and contact information of the researcher or organization conducting the study.
03
Clearly state the purpose of the research and what participation entails.
04
Detail any potential risks and benefits associated with participation.
05
Include information about the confidentiality of participant data.
06
Explain the right to withdraw from the study at any time without penalty.
07
Ensure participants understand what is being asked of them, including time commitments.
08
Include a section for participants to ask questions before signing.
09
Have a space for participants to sign and date the form.

Who needs informed consent statement form?

01
Individuals participating in clinical trials.
02
Researchers conducting studies involving human subjects.
03
Organizations seeking approval for research involving personal data.
04
Healthcare providers conducting experimental treatments.
05
Ethics committees reviewing studies needing ethical approval.
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An informed consent statement form is a document that ensures participants in a study or medical procedure are fully aware of the risks, benefits, and purpose of the study or procedure before agreeing to participate.
Researchers and organizations conducting studies involving human subjects are required to file informed consent statement forms.
To fill out an informed consent statement form, provide clear and comprehensive information regarding the study, including the purpose, procedures, risks, benefits, and contact information for questions. Ensure that participants understand this information before signing.
The purpose of the informed consent statement form is to protect the rights and welfare of participants by ensuring they are informed about what their participation entails and that they freely agree to take part.
The information that must be reported includes the study's title, purpose, duration, procedures, potential risks, benefits, confidentiality assurances, and contact details for inquiries.
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