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Informed Consent Form Template for clinical trials

Page 1 of 5 [Name of Principle Investigator] [ Informed Consent form for _____] Name the group of individuals for whom this Consent is written. Explanation Example [Name of Principal Investigator] [Name of Organization] [Name of Sponsor] [Name of Proposal and version] This Informed Consent form has two parts: Information Sheet (to share information about the research with you) Certificate of Consent (for signatures if you agree to take part) You will be given a copy of the full Informed Consent form PART I: Information Sheet Introduction Briefly state who you are and explain that you are inviting them to participate in the research you are doing. Explanation Example Purpose Explain in lay terms why you are doing the research. Explanation Example Type of Research Intervention Briefly state the type of intervention that will be undertaken. Explanation Example Participant selection State why this participant has been chosen for this research.

Page 1 of 5 [Name of Principle Investigator] [Informed Consent Form for _____] Name the group of individuals for whom this consent is written.

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