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Guidelines for Students Conducting Research with Human Participants
January 2015
Extended Consent Form example
Study Title: Student Experiences with Academic Advising at UCLA
The Center for Student
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How to fill out extended consent form

How to fill out an extended consent form:
01
Begin by carefully reading through the entire form to familiarize yourself with its contents and requirements.
02
Complete all sections of the form accurately, providing your personal information such as your name, address, contact details, and any other required details.
03
Pay close attention to any optional sections and fill them out if applicable or leave them blank if not relevant to you.
04
Make sure to understand the purpose and nature of the consent being asked for, and provide your consent by signing or ticking the appropriate checkboxes on the form.
05
If any additional information or documentation is required to support your consent, ensure you have gathered them and attach them to the form wherever instructed.
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Double-check all the information you have provided for accuracy before submitting the form.
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If there are any questions or uncertainties while completing the form, seek clarification from the relevant authority or ask for assistance before submitting.
Who needs an extended consent form?
01
An extended consent form may be required in various situations, such as medical procedures or clinical trials, where additional consent beyond the standard consent is necessary.
02
Patients or participants who are involved in medical research studies may be asked to provide extended consent, as it outlines the specific risks, benefits, procedures, and potential outcomes of the study.
03
In some cases, extended consent forms may be required for minors or individuals with limited capacity to ensure proper understanding and protect their rights.
04
Different countries, organizations, or institutions may have specific guidelines and regulations that determine when an extended consent form is necessary.
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It is important to consult with the relevant authorities or professionals in your specific situation to determine if an extended consent form is required.
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What is extended consent form?
The extended consent form is a document that grants permission for a specific action or activity beyond the normal scope of consent.
Who is required to file extended consent form?
Individuals or organizations who need to seek permission beyond the standard consent requirements.
How to fill out extended consent form?
The extended consent form can typically be filled out by providing relevant information and signatures as required.
What is the purpose of extended consent form?
The purpose of the extended consent form is to ensure clear permission is obtained for activities that fall outside of regular consent parameters.
What information must be reported on extended consent form?
The extended consent form usually requires information on the specific action requiring consent, the parties involved, and any relevant details.
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