Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 59 views

    CONSENT FORM FOR RESEARCH STUDY - Patient

    Uploaded by

    Fisher5486
    This consent form outlines the key details of a research study on alcohol-induced convulsions. It confirms that the participant has read and understood the study information, had an opportunity to ask questions, and provides consent to participate voluntarily. The participant also consents to relevant medical records and data being accessible to authorized individuals, and for collateral history to be obtained if needed. The form is signed by the participant, person obtaining consent if different from researcher, and researcher.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    CONSENT FORM FOR RESEARCH STUDY - Patient

    Uploaded by

    Fisher5486
    59 views1 page
    This consent form outlines the key details of a research study on alcohol-induced convulsions. It confirms that the participant has read and understood the study information, had an opportunity to ask questions, and provides consent to participate voluntarily. The participant also consents to relevant medical records and data being accessible to authorized individuals, and for collateral history to be obtained if needed. The form is signed by the participant, person obtaining consent if different from researcher, and researcher.

    Original Description:

    Original Title

    CONSENT FORM FOR RESEARCH STUDY - patient

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This consent form outlines the key details of a research study on alcohol-induced convulsions. It confirms that the participant has read and understood the study information, had an opportunity to ask questions, and provides consent to participate voluntarily. The participant also consents to relevant medical records and data being accessible to authorized individuals, and for collateral history to be obtained if needed. The form is signed by the participant, person obtaining consent if different from researcher, and researcher.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    59 views1 page

    CONSENT FORM FOR RESEARCH STUDY - Patient

    Uploaded by

    Fisher5486
    This consent form outlines the key details of a research study on alcohol-induced convulsions. It confirms that the participant has read and understood the study information, had an opportunity to ask questions, and provides consent to participate voluntarily. The participant also consents to relevant medical records and data being accessible to authorized individuals, and for collateral history to be obtained if needed. The form is signed by the participant, person obtaining consent if different from researcher, and researcher.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    CONSENT FORM FOR RESEARCH STUDY

    Title of Project: Alcohol-induced convulsions: A case study

    Name of Researcher: Mark Isherwood

    Please tick
    to confirm
    •I confirm that I have read and understand the information sheet
    dated ......................... for the above study. �
    •I have had the opportunity to consider the information, ask questions and
    have had these answered satisfactorily. �
    I understand that my participation is voluntary and that I am free to
    •
    withdraw at any time, without giving any reason, without my medical �
    care or legal rights being affected.
    I understand that relevant sections of any of my medical notes and data
    collected during the study, may be looked at by responsible individuals
    •
    from the University of Bristol, from regulatory authorities or from the �
    NHS Trust, where it is relevant to my taking part in this research. I give
    permission for these individuals to have access to my records.
    I agree to you contacting friends, relatives or other suitable people if a
    •
    collateral history is required (and so long as they are happy to be
    involved).
    •
    I agree to take part in the above research study. �
    __________________________ ______________ __________________________
    Name of Patient Date Signature
    __________________________
    ______________ __________________________
    Name of Person taking consent
    Date Signature
    (if different from researcher)
    __________________________ ______________ __________________________
    Researcher Date Signature
    When complete, 1 copy for patient: 1 copy for researcher site file: 1 (original) to be
    kept in medical notes.

    You might also like