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PARTICIPANT INFORMED CONSENT FORM AND AUTHORIZATION TO USE AND DISCLOSE PERSONAL HEALTH INFORMATIONStudy Title:BASMATI Basic Assessment of Safety and Minimally invAsive sTimulation via InjectrodeShort

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How to fill out informed consent form and

01

Read the entire informed consent form carefully.

02

Ensure that all information about the study or procedure is included.

03

Verify that potential risks and benefits are clearly explained.

04

Confirm that you have the opportunity to ask questions.

05

Fill in your personal details as required (name, contact information).

06

Indicate your understanding and agreement to participate in the study.

07

Sign and date the form in the designated area.

Who needs informed consent form and?

01

Participants in clinical trials or research studies.

02

Patients undergoing medical procedures or treatments.

03

Individuals participating in surveys or psychological studies.

04

Parents or guardians signing for minors.

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What is informed consent form?

An informed consent form is a document that provides potential participants with essential information about a study or treatment, ensuring they understand the purpose, risks, and benefits before agreeing to participate.

Who is required to file informed consent form?

Researchers and institutions conducting clinical trials or studies involving human participants are required to file informed consent forms.

How to fill out informed consent form?

To fill out an informed consent form, ensure that all relevant information about the study is clearly presented, including the study's purpose, procedures, risks, benefits, and any confidentiality assurances. Participants must provide their signature and date indicating their consent.

What is the purpose of informed consent form?

The purpose of the informed consent form is to protect the rights and welfare of participants by ensuring they are fully informed about the research and voluntarily agree to participate.

What information must be reported on informed consent form?

The informed consent form must include the study's purpose, procedures, expected duration, risks, benefits, confidentiality details, and the right to withdraw without penalty.

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