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Below is an example of an Informed Consent form. Informed ...

Below is an example of an Informed Consent form. I nformed consents should include the information listed Below . Informed Consent Title of Research: Principle Investigator, Affiliation and Contact Information: Additional Investigators and Affiliations: Institutional Contact: Institutional Review Board Hofstra University Office of Research and Sponsored Programs 516-463-5054 1. Introduction and Purpose of the Study Include a brief overview of the study on a level of understanding for the person who will be signing the form. Remember that the general population might not understand what you consider basic terminology. A general rule is to keep the wording at no more than an 8th grade reading level. 2. Description of the Research Include a description of what participation in the study entails. example : When you enter into the program, you will be asked to complete two questionnaires. You will then be asked to participate (EXPLAIN INTERVENTION IN BASIC TERMS).

they arise (call 911, refer to mental health clinic, etc.). If you believe there are no risks involved, since there is never a guarantee, state that there are “no known risks”. 5. Potential Benefits . Include a statement about potential benefits for participating in the study.

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