I confirm that I witnessed the consent process and that the information in the consent form and any other written information was explained to the LAR. ___________________________________ Printed Name of Witness ___________________________________ ______________ Witness Signature Date Person Obtaining Consent I confirm that the research study was thoroughly explained to the LAR. I reviewed the consent form with the LAR and answered all questions. The LAR appeared to have understood the information. ___________________________________ Printed Name of Person Obtaining Consent ___________________________________ ______________ Signature of Person Obtaining Consent Date
I confirm that I witnessed the consent process and that the information in the consent form and any other written information was explained to the LAR. ___________________________________ Printed Name of Witness ___________________________________ ______________ Witness Signature Date Person Obtaining Consent I confirm that the research study was thoroughly explained to the LAR. I reviewed the consent form with the LAR and answered all questions. The LAR appeared to have understood the information. ___________________________________ Printed Name of Person Obtaining Consent ___________________________________ ______________ Signature of Person Obtaining Consent Date