University of California at Davis Consent to Participate in Research This document includes directions in red type. You must delete the red type after you follow the directions. It also includes yellow-highlighted type. Yellow-highlighted type indicates language that you should look at carefully and choose whether to leave it in or delete it. Please remove all red type and yellow highlight before submitting this consent document to the IRB. of study: Principal Investigator: [Include only if the research includes skin penetration such as a blood draw] (Experimental Subject's Bill of Rights) Someone will explain this research study to you, including: The nature and purpose of the research study. The procedures to be followed. Any common or important discomforts and risks. Any benefits you might expect. Whether or not you take part is up to you. You can choose without force, fraud, deceit, duress, coercion, or undue influence. You can choose not to take part. You can agree to take part now and later change your mind. Whatever you decide it will not be held against you. You can ask all the questions you want before you decide. [Delete if the consent process will not include obtaining signatures on the consent you to take part, you will be given a signed and dated copy of this document.]If document. If [Delete if the consent process includes obtaining signatures on the consent document.] you agree to take part, you will be given a copy of this document. <Delete if the consent process is not electronic> What are my rights when providing electronic consent? California law provides specific rights when you are asked to provide electronic consent: You have the right to obtain a copy of the consent document in non-electronic format You have the right to provide consent in a non-electronic format. If you change your mind electronic consent, you have the right to request your electronic consent to be withdrawn and you can then provide consent in a non-electronic format; however a copy of your electronic consent will be maintained for regulatory purposes. If you wish to withdraw your electronic consent please tell the study team This agreement for electronic consent applies only to your consent to participate in this research study.
University of California at Davis Consent to Participate in Research This document includes directions in red type. You must delete the red type after you follow the directions. It also includes yellow-highlighted type. Yellow-highlighted type indicates language that you should look at carefully and choose whether to leave it in or delete it. Please remove all red type and yellow highlight before submitting this consent document to the IRB. of study: Principal Investigator: [Include only if the research includes skin penetration such as a blood draw] (Experimental Subject's Bill of Rights) Someone will explain this research study to you, including: The nature and purpose of the research study. The procedures to be followed. Any common or important discomforts and risks. Any benefits you might expect. Whether or not you take part is up to you. You can choose without force, fraud, deceit, duress, coercion, or undue influence. You can choose not to take part. You can agree to take part now and later change your mind. Whatever you decide it will not be held against you. You can ask all the questions you want before you decide. [Delete if the consent process will not include obtaining signatures on the consent document.]If you to take part, you will be given a signed and dated copy of this document. [Delete if the consent process includes obtaining signatures on the consent document.] If you agree to take part, you will be given a copy of this document. <Delete if the consent process is not electronic> What are my rights when providing electronic consent? California law provides specific rights when you are asked to provide electronic consent: You have the right to obtain a copy of the consent document in non-electronic format You have the right to provide consent in a non-electronic format. If you change your mind electronic consent, you have the right to request your electronic consent to be withdrawn and you can then provide consent in a non-electronic format; however a copy of your electronic consent will be maintained for regulatory purposes. If you wish to withdraw your electronic consent please tell the study team This agreement for electronic consent applies only to your consent to participate in this research study.
HRP-502-TEMPLATE-CONSENT-Minimal-Risk-Specimen-Research.docx