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Informed Consent Templates and Waivers

Use these informed consent templates to make sure your consent contains all the required elements of informed consent.

Consent Statement Template	An informed consent without signature, usually for exempt projects, for Medical or Nonmedical apply for a waiver of documentation of consent.
Cover Letter Template	For use with exempt projects only
Phone Script Informed Consent Template	Use when contacting subjects by phone
Statement of radiation risk
Tissue and Blood Storage for possible future use with identifiers
Tissue and Blood Storage for possible future use without identifiers
Addendum to Informed Consent

Medical Templates

Medical Informed Consent Template

Medical Parental Informed Consent Template

Assent for minors and cognitively impaired-Medical Template

Informed consent template for humanitarian use device

Waivers
Waiver of Documentation	Use to apply for use of consent without signature lines for Nonmedical and Medical.
Waiver of the Process or Alteration of Informed Consent	Use to apply for not using informed consent or altering elements of informed consent

VA Forms and Templates
VA Informed Consent Template	For all VA Informed Consents includes HIPAA addendum
VA Form 10-1223	Report of Subcommittee on Human Studies
VA Form 10-9012	Investigational Drug Information Record
VA Form Disclosure of Conflict of Interest

Research at LECOM

SELECT Client_ID, Account_ID, Content_ID, Headline, SubHead, URLLink, AvailableDate, DateLine, ContentCategory_ID, SortOrder FROM mgContent WHERE ContentCategory_ID = 23946 AND Client_ID = 76 AND isComment <> 1 AND (isModerated = 0 OR (isModerated = 1 AND ApprovedByUser <> 0)) ORDER BY SortOrder

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