OFFICE FOR PROTECTION OF HUMAN SUBJECTS
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SAMPLE TEMPLATES FOR CONSENT
AND RECRUITMENT :This page contains links to sample templates from which consent and recruitment documents can be developed. The sample language does not have to be repeated verbatim. CONSENT AND RECRUITMENT DOCUMENTS SHOULD BE WRITTEN IN TERMS UNDERSTANDABLE TO THE SUBJECT (avoid or define technical terminology, adjust for educational background and ages, provide translations in other languages when subjects do not understand English).
Separate consent/assent form(s) must be submitted for each group of subjects. Consent forms must be written in non-technical, jargon-free language at an 8th grade level. Assent forms must also be written in age-appropriate language. A detailed description of the basic required elements of consent is in the Investigator's Manual. Investigators with projects involving more than minimal risk and/or those working with special populations (children, people with intellectual or developmental disabilities, prisoners, pregnant women) must consult the Manual for additional informed consent elements.
IMPORTANT REMINDER: All signed consent forms are the property of the investigator and must be kept for a minimum of three years after the project has been completed.
Sample Template Instructions:
Choose the template(s) that is/are most appropriate for your research. To use a sample template, click on the appropriate link and use the copy/paste feature on your computer to transfer the language into your word processor. Information provided in italics needs to be filled in and the italics deleted.
Sample Consent Documents
- Written Consent Form - Adults
- Written Consent Form - Adults (Simplified)
- Cover Letter for anonymous, non-sensitive questionnaires
- Verbal Consent Script
- Passive Parental Consent
- Assent Form for Children Ages 7-12
- Release Form for Translators and Transcribers
- Videotape Release Form - Must be used if videotaping will occur
- Medical Drug/Device Consent Form
Sample Recruitment Documents
- Letter/Email for Faculty Researchers
- Letter/Email for Student Researchers
- Phone Script for Faculty Researchers
- Phone Script for Student Researchers
Sample HIPAA Authorization Form