______________________________ ________________________ Printed Name Signature Date (yyyy/mmm/dd) Delete this page when printing the INFORMED CONSENT DISCUSSION. Consent must be done in accordance with the REB approved plan. The person completing the form must either: be trained and delegated by the QI to obtain and explain informed consent, or be present during the consent discussion. Record the time consent was obtained to document that consent was provided prior to any study procedures. Capacity Assessment needs to be documented for each participant clarifying if participant is capable of providing written informed consent. Refer to the and Informed Consent in SickKids Policy ‘Free Research’ Update as applicable to the participant population. The Research Consent Form(s) and Assent Form are a permanent part of the health record and must be forwarded to Health Records accordingly. Ensure that this information is in the respective Research Consent Form(s). This form does not need to be submitted to the REB.
______________________________ ________________________ Printed Name Signature Date (yyyy/mmm/dd) Delete this page when printing the INFORMED CONSENT DISCUSSION. Consent must be done in accordance with the REB approved plan. The person completing the form must either: be trained and delegated by the QI to obtain and explain informed consent, or be present during the consent discussion. Record the time consent was obtained to document that consent was provided prior to any study procedures. Capacity Assessment needs to be documented for each participant clarifying if participant is capable of providing written informed consent. Refer to the SickKids Policy ‘Free and Informed Consent in Research’ Update as applicable to the participant population. The Research Consent Form(s) and Assent Form are a permanent part of the health record and must be forwarded to Health Records accordingly. Ensure that this information is in the respective Research Consent Form(s). This form does not need to be submitted to the REB.
77153-Informed%20Consent%20Discussion%20Documentation%202016.docx